FORM 1023-EZ for MOSAIC LEARNING CENTER

Field Data
EIN 26-4836177
Case Number EO-2017034-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSAIC LEARNING CENTER
Organization’s Mailing Address 4427 HIGHWAY 6 SUITE C
City SUGAR LAND
State TX
ZIP 77478-4515
Accounting period End 12
Primary contact name EDWARD M LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD LEE
CEO
4102 TOWNSVILLE CIRCLE
MISSOURI CITY TX 77459-5012

Officer/Director/Trustee Two

PAUL BARNETT
PRESIDENT
2806 BROOK RIVER COURT
SUGAR LAND TX 77479

Officer/Director/Trustee Three

JAMES DECLOUETTE
BUSINESS CONSULTANT
3610 BAILEY COURT
MISSOURI CITY TX 77459

Officer/Director/Trustee Four

SOLOMON EVANGELISTA
EDUCATIONAL CONSULTANT
2406 CLAWSON FALLS LANE
SUGAR LAND TX 77479

Officer/Director/Trustee Five

JOSEPH TUNG
LEGAL CONSULTANT
14535 STILL MEADOW DRIVE
HOUSTON TX 77079

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2009
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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