FORM 1023-EZ for MOTIVATING MOMENTS OF MENTAL STIMULATION

Field Data
EIN 37-1592149
Case Number EO-2015069-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOTIVATING MOMENTS OF MENTAL STIMULATION
Organization’s Mailing Address 257 DURHAM LANE
City BLOOMINGDALE
State IL
ZIP 60108
Accounting period End 6
Primary contact name VICTORIA M GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOMINIQUE GARRETT-FLOWERS
BOARD PRESIDENT
1423 S 11TH AVENUE
MAYWOOD IL 60153

Officer/Director/Trustee Two

SUHAJDA HENRY
BOARD TREASURER
1313 DUKE DRIVE
NAPERVILLE IL 60565

Officer/Director/Trustee Three

JOI HARRIS
BOARD SECRETARY
6245 MICHAEL LANE
MATTESON IL 60443

Officer/Director/Trustee Four

VICTORIA GREEN
PRESIDENT CEO
257 DURHAM LANE
BLOOMINGDALE IL 60108

Organization’s website MOTIV8MEVIC.COM
Organization’s email MOTIV8MEVIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2009
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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