FORM 1023-EZ for MOMPLOYDENT INC

Field Data
EIN 81-2724528
Case Number EO-2016356-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMPLOYDENT INC
Organization’s Mailing Address 69 WASHINGTON STREET
City CONCORD
State NH
ZIP 03301
Accounting period End 12
Primary contact name SHANITA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANITA WILLIAMS
CEO/PRESIDENT
15 TYLER DRIVE
GOFFSTOWN NH 03045

Officer/Director/Trustee Two

KEVIN WILLIAMS
COO/VICE PRESIDENT
15 TYLER DRIVE
GOFFSTOWN NH 03045

Officer/Director/Trustee Three

TEMEKA SMITH
DIRECTOR OF EVENTS LOGISTICS
1503 FULTON AVENUE 96
SACRAMENTO CA 95828

Officer/Director/Trustee Four

DENISE AUGUST
SECRETARY
2803 MATHESON WAY 3
SACRAMENTO CA 95864

Officer/Director/Trustee Five

STEPHANIE WILLIAMS
TREASURER
668 LENOX ROAD
BROOKLYN NY 11203

Organization’s website WWW.MOMPLOYDENT.COM
Organization’s email INFO@MOMPLOYDENT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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