FORM 1023-EZ for MOTIVATED AFRICAN AMERICAN MOMS OFMULTIPLES

Field Data
EIN 83-3808861
Case Number EO-2021102-000468
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTIVATED AFRICAN AMERICAN MOMS OFMULTIPLES
Organization’s Mailing Address 409 E WESTMONT AVE
City NORFOLK
State VA
ZIP 23503
Accounting period End 12
Primary contact name SIMONE BREHON-EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMONE BREHON-EVANS
OFFICER
409 E WESTMONT AVE
NORFOLK VA 23503

Officer/Director/Trustee Two

VERONICA BREHON
OFFICER
437 WEST 31ST STREET B1
NORFOLK VA 23508

Officer/Director/Trustee Three

RASHEEDA PEELE
OFFICER
2272 HUMPHREYS DRIVE
SUFFOLK VA 23435

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 SIMONE BREHON-EVANS
Signature Title OFFICER
Signature Date 4/3/2021

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