FORM 1023-EZ for MAE BELLS MISSION FOR HUMANITY INC

Field Data
EIN 30-1124041
Case Number EO-2018302-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAE BELLS MISSION FOR HUMANITY INC
Organization’s Mailing Address PO BOX 9073
City WATERBURY
State CT
ZIP 6724
Accounting period End 12
Primary contact name LATOYA B MCPHERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATOYA MCPHERSON
CHAIR, PRESIDENT AND DIRECTOR
205 PEACH ORCHARD ROAD
WATERBURY CT 6706

Officer/Director/Trustee Two

GLORIA THOMPSON
VICE CHAIR AND DIRECTOR
28 HOLLY STREET
WATERBURY CT 6706

Officer/Director/Trustee Three

GLENDA GOODWINE
SECRETARY AND DIRECTOR
116-3 MAYBURY CIRCLE
WATERBURY CT 6705

Officer/Director/Trustee Four

REVEREND BRIARSEN BURKE
TREASURER AND DIRECTOR
185 SCOTT ROAD APT 3A
WATERBURY CT 6705

Organization’s website
Organization’s email MAEBMISSION4HUMANITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 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 LATOYA MCPHERSON
Signature Title CHAIR, PRESIDENT AND DIRECTOR
Signature Date 10/25/18

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