FORM 1023-EZ for MOXY UP

Field Data
EIN 83-1633480
Case Number EO-2018234-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOXY UP
Organization’s Mailing Address 1616 US HWY 395 N
City MINDEN
State NV
ZIP 89423
Accounting period End 12
Primary contact name COLEEN LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLEEN LAWRENCE
PRESIDENT AND DIRECTOR
112 N CURRY STREET
CARSON CITY NV 89701

Officer/Director/Trustee Two

SOPHIA ROUSSAKIS
SECRETARY AND DIRECTOR
112 N CURRY STREET
CARSON CITY NV 89701

Officer/Director/Trustee Three

AMANDA JOHNSON
TREASURER AND DIRECTOR
112 N CURRY STREET
CARSON CITY NV 89701

Officer/Director/Trustee Four

JENNIFER BONK
DIRECTOR
112 N CURRY STREET
CARSON CITY NV 89701

Officer/Director/Trustee Five

CHRISTY RAYNES
DIRECTOR
112 N CURRY STREET
CARSON CITY NV 89701

Organization’s website
Organization’s email MOXYUPNEVADA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 COLEEN LAWRENCE
Signature Title PRESIDENT AND DIRECTOR
Signature Date 8/20/18

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