FORM 1023-EZ for MISSION POSSIBLE INITIATIVE INC

Field Data
EIN 84-2294722
Case Number EO-2019210-000458
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION POSSIBLE INITIATIVE INC
Organization’s Mailing Address 800 THOMPSON STREET
City ASHLAND
State VA
ZIP 23005
Accounting period End 6
Primary contact name THOMAS LYNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS LYNCH
PRESIDENT
13512 PROVIDENCE RUN ROAD
ASHLAND VA 23005

Officer/Director/Trustee Two

ERIC MOORE
TREASURER
10426 MORNING DEW LANE
MECHANICSVILLE VA 23116

Officer/Director/Trustee Three

JOSHUA HAYDEN
CHAIRPERSON
9664 LANDCASTLE DRIVE
ASHLAND VA 23005

Officer/Director/Trustee Four

DANIEL PEYTON
VICE-CHAIR
3132 HANOVER AVENUE APT A
RICHMOND VA 23221

Officer/Director/Trustee Five

NEHRIE TELLADO
SECRETARY
311 SOUTH 12TH AVENUE UNIT B
HOPEWELL VA 23860

Organization’s website HTTP://WWW.MISSIONPOSSIBL
Organization’s email DIRECTOR@MISSIONPOSSIBLEVA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
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 THOMAS LYNCH
Signature Title PRESIDENT
Signature Date 7/26/19

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