FORM 1023-EZ for ORDER OF MALTA MOBILE MINISTRIES INC

Field Data
EIN 84-3738231
Case Number EO-2019331-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORDER OF MALTA MOBILE MINISTRIES INC
Organization’s Mailing Address 610 16TH ST STE 410
City OAKLAND
State CA
ZIP 94612
Accounting period End 12
Primary contact name TIMOTHY SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY SHANNON
PRESIDENT
5775 E LOS AGNELES AVE STE 101
SIMI VALLEY CA 93063

Officer/Director/Trustee Two

MICHAEL PSOMAS
SECRETARY
2832 HOLLYRIDGE DR
LOS ANGELES CA 90068

Officer/Director/Trustee Three

DENNIS DIEKMANN
TREASURER
1425 MILAN AVE
SOUTH PASADENA CA 91030

Officer/Director/Trustee Four

KENNETH HURLEY
DIRECTOR
122000 MEANLTO DR
LOS ALTOS HILLS CA 94022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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 TIMOTHY SHANNON
Signature Title PRESIDENT
Signature Date 11/25/19

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