FORM 1023-EZ for MIZIZI VILLAGE

Field Data
EIN 85-0547005
Case Number EO-2020170-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIZIZI VILLAGE
Organization’s Mailing Address PO BOX 38512
City HENRICO
State VA
ZIP 23231
Accounting period End 12
Primary contact name CHARLENE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISHA JENNINGS
PRESIDENT, DIRECTOR
5524 MILLS TRL NE
RIEGELWOOD NC 28456

Officer/Director/Trustee Two

KIMBERLY REESE
SECRETARY, DIRECTOR
3513 BARTLEY POND COURT
HENRICO VA 23233

Officer/Director/Trustee Three

LORI BROOKS
TREASURER, DIRECTOR
312 OLD CARNATIION ST
RICHMOND VA 23225

Officer/Director/Trustee Four

CHARLENE BROWN
DIRECTOR
PO BOX 38512
HENRICO VA 23231

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLENE BROWN
Signature Title DIRECTOR
Signature Date 4/3/2020

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