FORM 1023-EZ for LOVING MOTHER MARYS INC

Field Data
EIN 87-1619506
Case Number EO-2021264-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVING MOTHER MARYS INC
Organization’s Mailing Address 10964 TRACI LYNN DRIVE
City JACKSONVILLE
State FL
ZIP 32218
Accounting period End 12
Primary contact name MELISSA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA JACKSON
PRESIDENT
10964 TRACI LYNN DRIVE
JACKSONVILLE FL 32218

Officer/Director/Trustee Two

VALNARD STUBBS JR
SECRETARY
876 THOROUGHBRED DRIVE
ORANGE PARK FL 32065

Officer/Director/Trustee Three

TAMEKIA JOHNSON
VICE PRESIDENT
16330 DOWING CREEK DRIVE
JACKSONVILLE FL 32218

Officer/Director/Trustee Four

SHACORIE MORMAN
AVP
12050 ALEXANDRA DRIVE
JACKSONVILLE FL 32218

Officer/Director/Trustee Five

TYATA BROWN
VICE PRESIDENT
1620 WARHAWK LANE
JACKSONVILLE FL 32221

Organization’s website WWW.LOVINGMOTHERMARYS.ORG
Organization’s email INFO@LOVINGMOTHERMARYS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA JACKSON
Signature Title PRESIDENT
Signature Date 7/12/2021

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