FORM 1023-EZ for MOJA FOUNDATION

Field Data
EIN 47-4612718
Case Number EO-2015343-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOJA FOUNDATION
Organization’s Mailing Address 816 BROOKSHIRE BLVD
City MARYVILLE
State TN
ZIP 37803
Accounting period End 12
Primary contact name ALISON MISTAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALISON MISTAK
EXECUTIVE DIRECTOR
816 BROOKSHIRE BLVD
MARYVILLE TN 37803

Officer/Director/Trustee Two

CYNDI BUTLER
PRESIDENT
7545 OAK RIDGE HWY
MARYVILLE TN 37931

Officer/Director/Trustee Three

WENDY WILLIAMS
TREASURER
7816 VILLAGE DR
KNOXVILLE TN 37919

Officer/Director/Trustee Four

BEVERLY DAVIS
SECRETARY
1919 NORTHWOOD DR
MARYVILLE TN 37803

Organization’s website WWW.MOJAFOUNDATION.COM
Organization’s email MOJAFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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