FORM 1023-EZ for MISSION INCORPORATED

Field Data
EIN 81-2984846
Case Number EO-2016319-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION INCORPORATED
Organization’s Mailing Address 6028 LANGDON AVE SW
City CEDAR RAPIDS
State IA
ZIP 52404
Accounting period End 12
Primary contact name SHASHONA WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHASHONA WRIGHT
PRESIDENT
6028 LANGDON AVE SW
CEDAR RAPIDS IA 52404

Officer/Director/Trustee Two

WENDELL BEETS
VICE PRESIDENT
2325 16TH AVE SW
CEDAR RAPIDS IA 52404

Officer/Director/Trustee Three

LAWRENCE JEFFERSON
SECRETARY
5035 JOHNSON AVE APT 11
CEDAR RAPIDS IA 52404

Officer/Director/Trustee Four

ADRIAN NEAL
TREASURER
5035 JOHNSON AVE SW
CEDAR RAPIDS IA 52404

Officer/Director/Trustee Five

LEE MUHAMMAD
DIRECTOR
7247 S CCONSTANCE AVE APT 2
CHICAGO IL 60649

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
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
Signature Title
Signature Date

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