FORM 1023-EZ for MOOKIES PLACE

Field Data
EIN 82-2419425
Case Number EO-2018036-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOOKIES PLACE
Organization’s Mailing Address 109 SOUTH WHITE STREET
City LANCASTER
State SC
ZIP 29720
Accounting period End 12
Primary contact name LETISHA SMALLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LETISHA SMALLS
PRESIDENT / CEO
7115 HENDERSON VALLEY LANE
CHARLOTTE NC 28269

Officer/Director/Trustee Two

KISHA HOBBS
SECRETARY
5146 GRAPEVINE DRIVE
CHARLOTTE NC 28227

Officer/Director/Trustee Three

VIRGINA POUGH
TREASURY
7000 REGENT PKWY
FORT MILL SC 29715

Officer/Director/Trustee Four

DENISE COLEY
EDUCATIONAL DIRECTOR
102 N YATES ST
GASTONIA NC 28052

Officer/Director/Trustee Five

JASON PETILLO
VICE PRESIDENT
7115 HENDERSON VALLEY LANE
CHARLOTTE NC 28269

Organization’s website WWW.MOOKIESPLACE.ORG
Organization’s email LSMALLS@MOOKIESPLACE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LETISHA SMALLS
Signature Title PRESIDENT / CEO
Signature Date 2/1/18

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