FORM 1023-EZ for PETTY MOGUL INC

Field Data
EIN 81-1492164
Case Number EO-2016097-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETTY MOGUL INC
Organization’s Mailing Address 4119 CHAPEL LAKE DRIVE
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name JOHN HOLDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SIERRA LLOYD
PRESIDENT
4119 CHAPEL LAKE DR
DECATUR GA 30034

Officer/Director/Trustee Two

JUANITA CRAFT
EXECUTOR DIRECTOR
4119 CHAPEL LAKE DR
DECATUR GA 30034

Officer/Director/Trustee Three

SIERRA LLYOD
TREASURER
4119 CHAPEL LAKE DR
DECATUR GA 30034

Officer/Director/Trustee Four

JOHN HOLDER
DIRECTOR
7999 N FEDERAL HWY
BOCS RATON FL 33487

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 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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