FORM 1023-EZ for MOSAICSONG INC

Field Data
EIN 56-2411154
Case Number EO-2015099-000541
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSAICSONG INC
Organization’s Mailing Address 3628 KIMBERLY LANE
City FORT WORTH
State TX
ZIP 76133-2147
Accounting period End 6
Primary contact name PAULA TIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL BAGLEY
PRESIDENT
3420 LARK MEADOW WAY
DALLAS TX 75287

Officer/Director/Trustee Two

DIANA THORNTON
SECRETARY
903 PALOMINO DRIVE
EULESS TX 76039

Officer/Director/Trustee Three

MARCIA BAKER
TREASURER
15021 CYPRESS HILLS DRIVE
DALLAS TX 75248

Officer/Director/Trustee Four

PAULA TIFFIN
BOARD ASSISTANT
3506 CRESTSTONE DRIVE
GARLAND TX 75040-3578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2004
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6B - Singing, Choral
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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