FORM 1023-EZ for MASTERING LIFE SKILLS INSTITUTE LLC

Field Data
EIN 82-1280789
Case Number EO-2017187-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASTERING LIFE SKILLS INSTITUTE LLC
Organization’s Mailing Address 20395 OLD HOUSTON ROAD
City ABERDEEN
State MS
ZIP 39730
Accounting period End 8
Primary contact name LISA WALKER-COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA WALKER-COOK
EXECUTIVE DIRECTOR
20395 OLD HOUSTON RD
ABERDEEN MS 39730-8551

Officer/Director/Trustee Two

ROB VASSER
BOARD MEMBER
2 RED BIRD LANE
ABERDEEN MS 39730-8551

Officer/Director/Trustee Three

GEOFFREY DILLWORTH
BOARD MEMBER
509 BOULEVARD DR SO
AMORY MS 38821-4520

Officer/Director/Trustee Four

JAMES BOYD
BOARD MEMBER
416 S MATUBBA ST
ABERDEEN MS 39730-8551

Officer/Director/Trustee Five

CHAD LENOIR
BOARD MEMBER
610 OAKLAND DR
ABERDEEN MS 39730-8551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State MS
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: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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