FORM 1023-EZ for MOMS CIRCLE OF LIFE

Field Data
EIN 26-3174410
Case Number EO-2021065-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMS CIRCLE OF LIFE
Organization’s Mailing Address 193 FAIRWAY DRIVE
City NOCONA
State TX
ZIP 76255
Accounting period End 12
Primary contact name AMINA S HUSSEIN-DAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMINA HUSSEIN-DAY
DIRECTOR
193 FAIRWAY DRIVE
NOCONA TX 76255

Officer/Director/Trustee Two

CHRISTOPHER DAY
ASSIST DIRECTOR
193 FAIRWAY DRIVE
NOCONA TX 76255

Officer/Director/Trustee Three

JOHN JAMISON
TRUSTEE
920 SHENANDOHA LANE
YORK PA 17404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2010
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: No
Religious: Yes
Educational: No
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 Yes
Donation of funds Yes
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 Yes
Correctness Declaration Yes
Signature Name AMINA HUSSEIN-DAY
Signature Title DIRECTOR
Signature Date 1/15/2021

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