FORM 1023-EZ for MIAS MISSION

Field Data
EIN 81-5165832
Case Number EO-2017034-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIAS MISSION
Organization’s Mailing Address PO BOX 8783
City LUMBERTON
State TX
ZIP 77657
Accounting period End 12
Primary contact name BARBRA HARTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY NASON
COFOUNDER
426 NORTH MAIN 2
LUMBERTON TX 77625

Officer/Director/Trustee Two

BARBRA HARTT
COFOUNDER
5290 BARROWS DR
KOUNTZE TX 77625

Officer/Director/Trustee Three

LAURA HENDERSON
SECRETARY
180 HORN ROAD
LUMBERTON TX 77657

Officer/Director/Trustee Four

SUSAN GONZALEZ
TREASURER
1525 AMELIA B
BEAUMONT TX 77707

Officer/Director/Trustee Five

JOLIE SANDERS
COMMUNITY OUTREACH
2090 LONGFELLOW
BEAUMONT TX 77701

Organization’s website
Organization’s email MIASMISSION17@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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