FORM 1023-EZ for PB J MISSION

Field Data
EIN 82-0963844
Case Number EO-2017088-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PB J MISSION
Organization’s Mailing Address 1977 ETON ST
City TWINSBURG
State OH
ZIP 44087
Accounting period End 12
Primary contact name WANDA ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WANDA ROBINSON
DIRECTOR
1977 ETON ST
TWINSBURG OH 44087

Officer/Director/Trustee Two

TRACY FOWLER
MANAGER
1977 ETON ST
TWINSBURG OH 44087

Officer/Director/Trustee Three

RENE FOWLER
MANAGER
7630 PONDBROOK LANE
MACEDONIA OH 44056

Organization’s website
Organization’s email WANDAWR007.WR@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - 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 Yes
One Third Support Gifts No
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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