FORM 1023-EZ for MIXON ADVERSITY WITH SUCCESS INCORPORATED
| Field | Data |
|---|---|
| EIN | 85-4180193 |
| Case Number | EO-2021036-000165 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MIXON ADVERSITY WITH SUCCESS INCORPORATED |
| Organization’s Mailing Address | 3210 SUMMERFIELD DRIVE |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46214 |
| Accounting period End | 12 |
| Primary contact name | BIANCA MIXON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BIANCA MIXON
DIRECTOR
3210 SUMMERFIELD DRIVE
INDIANAPOLIS IN 46214
Officer/Director/Trustee Two
BEVERLY AVERITTE
BOARD MEMBER
2477 BOND STREET
INDIANAPOLIS IN 46208
Officer/Director/Trustee Three
ANGEL MCALLISTER
BOARD MEMBER
2477 BOND STREET
INDIANAPOLIS IN 46208
Officer/Director/Trustee Four
BREANN HARRIS
BOARD MEMBER
8050 DOWITCH STREET
INDIANAPOLIS IN 46260
| Organization’s website | |
|---|---|
| Organization’s email | MIXON.ADVERSITY.WITH.SUCCESS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/17/2016 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P82 - Developmentally Disabled Centers, Services |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BIANCA MIXON |
| Signature Title | DIRECTOR |
| Signature Date | 12/12/2020 |
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