FORM 1023-EZ for MOLD ME INC

Field Data
EIN 86-2892254
Case Number EO-2021100-000811
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOLD ME INC
Organization’s Mailing Address 8701 ELBE TRAIL
City FORT WORTH
State TX
ZIP 76118
Accounting period End 12
Primary contact name KRISTIN RATTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN RATTLER
FOUNDER/EXECUTIVE DIRECTOR
8701 ELBE TRAIL
FORT WORTH TX 76118

Officer/Director/Trustee Two

KISHA JONES
CO-FOUNDER
520 TUSCAN DR
IRVING TX 75039

Officer/Director/Trustee Three

CONSTANCE JOHNSON
BOARD CHAIR
3621 FRANKFORT RD APT 812
DALLAS TX 75287

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 KRISTIN RATTLER
Signature Title FOUNDER/EXECUTIVE DIRECTOR
Signature Date 3/26/2021

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