FORM 1023-EZ for MOSBERG GIVE BACK SACKS

Field Data
EIN 85-3728373
Case Number EO-2020309-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSBERG GIVE BACK SACKS
Organization’s Mailing Address 2347 WEST OHIO STREET UNIT 2
City CHICAGO
State IL
ZIP 60612
Accounting period End 12
Primary contact name KIMBERLY MOSBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY MOSBERG
PRESIDENT
2347 WEST OHIO STREET UNIT 2
CHICAGO IL 60612

Officer/Director/Trustee Two

PHILIP MOSBERG
SECRETARY
2347 WEST OHIO STREET UNIT 2
CHICAGO IL 60612

Officer/Director/Trustee Three

NANCY BROWN
BOARD MEMBER
433 AUSTIN AVE
DOWNERS GROVE IL 60515

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KIMBERLY MOSBERG
Signature Title PRESIDENT
Signature Date 11/2/2020

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