FORM 1023-EZ for MOMMYS BREAK INC

Field Data
EIN 84-4850974
Case Number EO-2020057-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMMYS BREAK INC
Organization’s Mailing Address 531 WOODSONG WAY APT 303
City SMYRNA
State GA
ZIP 30082
Accounting period End 12
Primary contact name IMANI WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IMANI WATSON
DIRECTOR
531 WOODSONG WAY APT 303
SMYRNA GA 30082

Officer/Director/Trustee Two

DAIRYION GARDENHIRE
DIRECTOR
5572 GRASSY MEADOWS AVE APT F
KALAMAZOO MI 49048

Officer/Director/Trustee Three

DESMOND GRISSON
DIRECTOR
6359 DOGWOOD TRL
LITHONIA GA 30058

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
Organization’s purpose Charitable: Yes
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 IMANI WATSON
Signature Title DIRECTOR
Signature Date 2/24/2020

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