FORM 1023-EZ for MOS PLACE

Field Data
EIN 84-3658857
Case Number EO-2019326-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOS PLACE
Organization’s Mailing Address 1515 ARIA CT
City WEST RICHLAND
State WA
ZIP 99353-5504
Accounting period End 12
Primary contact name STEPHYNIE GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHYNIE GORDON
PRESIDENT
1515 ARIA CT
WEST RICHLAND WA 99353-5504

Officer/Director/Trustee Two

JENNIFER RODES
VICE PRESIDENT
1622 BUTTERNUT AVE
RICHLAND WA 99354

Officer/Director/Trustee Three

SHAUN GORDON
TREASURER
1515 ARIA CT
WEST RICHLAND WA 99353

Officer/Director/Trustee Four

ZEBULON RODES
SECRETARY
1622 BUTTERNUT AVE
RICHLAND WA 99354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/19
Organization Incorporation State WA
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: 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 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 STEPHYNIE GORDON
Signature Title PRESIDENT
Signature Date 11/20/19

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