FORM 1023-EZ for MACKENZYS LITTLE MIRACLES

Field Data
EIN 84-3374128
Case Number EO-2021099-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MACKENZYS LITTLE MIRACLES
Organization’s Mailing Address 3417 EAST WASHINGTON AVE
City DES MOINES
State IA
ZIP 50317
Accounting period End 12
Primary contact name LODI LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY LARSON
PRESIDENT
3417 EAST WASHINGTON AVE
DES MOINES IA 50317

Officer/Director/Trustee Two

LODI LARSON
VICE-PRESIDENT
3417 EAST WASHINGTON AVE
DES MOINES IA 50317

Officer/Director/Trustee Three

AMY SAMO
SECRETARY
3301 E SHAWNEE AVE
DES MOINES IA 50317

Officer/Director/Trustee Four

MEGAN MIRANDA
DIRECTOR
835 SE 55TH ST
PLEASANT HILL IA 50327

Officer/Director/Trustee Five

JUJU SAMAWI
DIRECTOR
14300 HOLCOMB AVE
URBANDALE IA 50323

Organization’s website HTTPS://WWW.FACEBOOK.COM/MACKENZYSLEGACY/
Organization’s email MACKENZYSLITTLEMIRACLES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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 LODI LARSON
Signature Title VICE-PRESIDENT
Signature Date 3/23/2021

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