FORM 1023-EZ for MISSION FULFILLED 2030

Field Data
EIN 84-3323054
Case Number EO-2019288-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION FULFILLED 2030
Organization’s Mailing Address 513 BRECKINRIDGE SQ SE
City LEESBURG
State VA
ZIP 20175
Accounting period End 12
Primary contact name GERALD MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD MOORE
DIRECTOR
513 BRECKINRIDGE SQ SE
LEESBURG VA 20175

Officer/Director/Trustee Two

MICHEAL SHAW
OFFICER
8701 GOOCH CT
WAKE FOREST VA 27587

Officer/Director/Trustee Three

RACHELLE JULMICE
OFFICER
2863 MADEIRA CT
WOODBRIDGE VA 22192

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERALD MOORE
Signature Title DIRECTOR
Signature Date 10/10/19

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