FORM 1023-EZ for MOS PLACE

Field Data
EIN 47-4722692
Case Number EO-2018039-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOS PLACE
Organization’s Mailing Address 5820 HIGHWAY 25 NORTH
City HODGES
State SC
ZIP 29653
Accounting period End 12
Primary contact name RENEE COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMMY ROBINSON
OFFICER
5832 HIGHWAY 25 NORTH
HODGES SC 29653

Officer/Director/Trustee Two

YOSHUNDA SULLIVAN
TRUSTEE
216 YELLOWWOOD DRIVE
SIMPSONVILLE SC 29680

Officer/Director/Trustee Three

RENEE COLEMAN
DIRECTOR
5820 HIGHWAY 25 NORTH
HODGES SC 29653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 RENEE COLEMAN
Signature Title DIRECTOR
Signature Date 2/6/18

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