FORM 1023-EZ for CGR S MISSION INC

Field Data
EIN 81-3236064
Case Number EO-2016210-000679
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CGR S MISSION INC
Organization’s Mailing Address 2607 NE 21ST AVE
City CAPE CORAL
State FL
ZIP 33909
Accounting period End 12
Primary contact name BOBETTE GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS GRAVES
DIRECTOR
2607 NE 21ST AVE
CAPE CORAL FL 33909

Officer/Director/Trustee Two

JASMINE PENA
TREASURER DIRECTOR
2607 NE 21ST AVE
CAPE CORAL FL 33909

Officer/Director/Trustee Three

BOBETTE GRAVES
PRESIDENT EXECUTIVE DIRECTOE
2607 NE 21ST AVE
CAPE CORAL FL 33909

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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