FORM 1023-EZ for MATTIES MISSION INC

Field Data
EIN 46-3866034
Case Number EO-2014232-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATTIES MISSION INC
Organization’s Mailing Address PO BOX 2211
City WAYCROSS
State GA
ZIP 31502
Accounting period End 12
Primary contact name GiGi Goble
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB GOBLE
PRESIDENT
3990 LYNNE AVE
WAYCROSS GA 31503

Officer/Director/Trustee Two

TINA GOBLE
VICE PRESIDENT
3990 LYNNE AVE
WAYCROSS GA 31503

Officer/Director/Trustee Three

MARY ANN CHANEY
TREASURER
5819 KINGFISH LANE
BLACKSHEAR GA 31516

Officer/Director/Trustee Four

DIANE DAVIS
SECRETARY
3945 LYNN AVE
WAYCROSS GA 31503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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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