FORM 1023-EZ for MOON CHILD COLLABORATIVE

Field Data
EIN 87-1086289
Case Number EO-2021183-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOON CHILD COLLABORATIVE
Organization’s Mailing Address 5927 BALFOUR COURT SUITE 112
City CARLSBAD
State CA
ZIP 92008
Accounting period End 12
Primary contact name JOANNA Y TSAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA MALLORY-MCCREE
CEO
4142 ADAMS AVE 103-547
SAN DIEGO CA 92116

Officer/Director/Trustee Two

JAMAL MALLORY-MCCREE
SECRETARY
4142 ADAMS AVE 103-547
SAN DIEGO CA 92116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 ANGELA MALLORY-MCCREE
Signature Title CEO
Signature Date 6/29/2021

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