FORM 1023-EZ for MOZAMBIQUE ORPHANS CHARITY

Field Data
EIN 82-5221012
Case Number EO-2018110-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOZAMBIQUE ORPHANS CHARITY
Organization’s Mailing Address 12119 TRIPLE CROWN ROAD
City NORTH POTOMAC
State MD
ZIP 20878
Accounting period End 6
Primary contact name LISA SIQUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA BENFICA
PRESIDENT
12119 TRIPLE CROWN ROAD
NORTH POTOMAC MD 20878

Officer/Director/Trustee Two

LISA SIQUEL
SECRETARY
20007 MATTINGLY TERRACE
GAITHERSBURG MD 20879

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 LISA SIQUEL
Signature Title SECRETARY
Signature Date 4/18/18

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