FORM 1023-EZ for ELIZABETHS MISSION INC

Field Data
EIN 85-4381377
Case Number EO-2021090-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELIZABETHS MISSION INC
Organization’s Mailing Address 1493 WHITE FLOWER LANE
City LAWRENCEVILLE
State FL
ZIP 30045
Accounting period End 12
Primary contact name CHRISTOPHER COOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER COOPER
PRESIDENT/DIRECTOR
1493 WHITE FLOWER LANE
LAWRENCEVILLE FL 30045

Officer/Director/Trustee Two

LORRAINE BARRELLA
TREASURER/DIRECTOR
373 JEREMY COURT
MERRITT ISLAND FL 32953

Officer/Director/Trustee Three

LYN FROEHLICH
SECRETARY/DIRECTOR
861 SHERWOOD ROAD
GAINSVILLE GA 30501

Officer/Director/Trustee Four

NICHOLAS COOPER
DIRECTOR/VICE PRESIDENT
1493 WHITE FLOWER LANCE
LAWRENCEVILLE FL 30045

Officer/Director/Trustee Five

SHANE DOSTER
DIRECTOR
5611 BRITT WHITMIRE RD
GAINSVILLE GA 30506

Organization’s website
Organization’s email PRESTIGEOFBREVARD@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 No
Correctness Declaration Yes
Signature Name CHRISTOPHER COOPER
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/17/2021

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