FORM 1023-EZ for OUR MOMMIE VILLAGE INC

Field Data
EIN 87-1181950
Case Number EO-2021183-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR MOMMIE VILLAGE INC
Organization’s Mailing Address 289 SUMMER ST
City BUFFALO
State NY
ZIP 14222
Accounting period End 12
Primary contact name JENNIFER TUTTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAYANA BROUGHTON
EXECUTIVE DIRECTOR
145 16TH ST
BUFFALO NY 14213

Officer/Director/Trustee Two

HYDEIA WALKER
PRESIDENT
270 DEWITT ST
BUFFALO NY 14213

Officer/Director/Trustee Three

EILEEN STEWART
TREASURER
289 SUMMER ST
BUFFALO NY 14222

Officer/Director/Trustee Four

JALONDA HILL
SECRETARY
77 JOHNSON PARK
BUFFALO NY 14201

Organization’s website WWW.OURMOMMIEVILLAGECOMMUNITY.COM
Organization’s email OURMOMMIEVILLAGE2012@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAYANA BROUGHTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/29/2021

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