FORM 1023-EZ for MISSION ZERO HUNDRED HOURS NFP

Field Data
EIN 83-4497487
Case Number EO-2020003-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION ZERO HUNDRED HOURS NFP
Organization’s Mailing Address 13040 GRANDE PINES BLVD
City PLAINFIELD
State IL
ZIP 60585
Accounting period End 12
Primary contact name JON WALRATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN YOUNG
PRESIDENT
249 FOX CHASE DRIVE NORTH
OSWEGO IL 50543

Officer/Director/Trustee Two

JON WALRATH
TREASURER
13040 GRANDE PINES BLVD
PLAINFIELD IL 60585

Officer/Director/Trustee Three

WILLIAM RITTS IV
VICE PRESIDENT
1912 KINGS HWY
ROCKFORD IL 61107

Officer/Director/Trustee Four

MIKE PETERS
SECRETARY
PO BOX 1620 NIXA
NIXA MO 65714

Officer/Director/Trustee Five

JORDAN FISHMAN
DIRECTOR
3019 OAKTREE LANE
HOLLYWOOD FL 33131

Organization’s website HTTP://WWW.MISSIONZEROHUNDREDHOURS.ORG
Organization’s email JON@MZHH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention 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 JON WALRATH
Signature Title TREASURER
Signature Date 1/1/2020

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