FORM 1023-EZ for MITCHLOCK FOUNDATION

Field Data
EIN 86-3342337
Case Number EO-2021165-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MITCHLOCK FOUNDATION
Organization’s Mailing Address 10018 S VAN NESS AVE NO 6
City LOS ANGELES
State CA
ZIP 90047
Accounting period End 12
Primary contact name CHARLES SHERWIN LOCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES SHERWIN LOCKETT
CHIEF EXECUTIVE OFFICER
10018 S VAN NESS AVENUE NUMBER 6
LOS ANGELES CA 90047

Officer/Director/Trustee Two

LINDA LUCAS
SECRETARY
10018 S VAN NESS AVENUE NUMBER 6
LOS ANGELES CA 90047

Officer/Director/Trustee Three

YVONNE MARIE MITCHELL
CHIEF FINANCIAL OFFICER
10018 S VAN NESS AVENUE NUMBER 6
LOS ANGELES CA 90047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES SHERWIN LOCKETT
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 6/10/2021

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