FORM 1023-EZ for MOSAIC LEADERSHIP NETWORK INC
| Field | Data |
|---|---|
| EIN | 61-2000199 |
| Case Number | EO-2021242-000782 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOSAIC LEADERSHIP NETWORK INC |
| Organization’s Mailing Address | 1609 OXFORD CT |
| City | ANDOVER |
| State | KS |
| ZIP | 67002-9088 |
| Accounting period End | 12 |
| Primary contact name | DENISE SHERMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DENISE SHERMAN
BOARD PRESIDENT
1609 OXFORD CT
ANDOVER KS 67002-9088
Officer/Director/Trustee Two
JILL MILLER
BOARD VICE PRESIDENT
1999 N AMIDON SUITE 370
WICHITA KS 67203
Officer/Director/Trustee Three
STACY WARD LATTIN
BOARD SECRETARY
701 E 1ST STREET N APT 417
WICHITA KS 67202
Officer/Director/Trustee Four
TYRENA JUDIE
BOARD TREASURER
PO BOX 20772
WICHITA KS 67208
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/28/2021 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DENISE SHERMAN |
| Signature Title | BOARD PRESIDENT |
| Signature Date | 8/28/2021 |
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