FORM 1023-EZ for MOSAIC CORNER

Field Data
EIN 82-2369305
Case Number EO-2017310-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSAIC CORNER
Organization’s Mailing Address 3103 ETON RD
City RALEIGH
State NC
ZIP 27608
Accounting period End 12
Primary contact name JO G HOLLOMAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH PARULSKI
CHIEF FINANCIAL OFFICER
3103 ETON RD
RALEIGH NC 27608

Officer/Director/Trustee Two

CAROLINE PARULSKI
CHIEF EXECUTIVE OFFICER
3103 ETON RD
RALEIGH NC 27608

Officer/Director/Trustee Three

RASHA MOHAMED
CHIEF OPERATING OFFICER
2925 WINDING WATERS WAY
RALEIGH NC 27614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy N.E.C.
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
Signature Title
Signature Date

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