FORM 1023-EZ for MOCOJETHA INC DBA MOCOJETH OUTREACH

Field Data
EIN 85-1415730
Case Number EO-2020196-000592
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOCOJETHA INC DBA MOCOJETH OUTREACH
Organization’s Mailing Address 6409 ADRIATIC WAY
City WEST PALM BEACH
State FL
ZIP 33413
Accounting period End 12
Primary contact name STEVENSON SAUVAGERE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVENSON SAUVAGERE
CEO/PRESIDENT
624 36TH STREET
WEST PALM BEACH FL 33407

Officer/Director/Trustee Two

PIERRE DEVOLIERE
DP
624 36TH STREET
WEST PALM BEACH FL 33407

Officer/Director/Trustee Three

CASSIANE GARCON
COUNSELOR
624 36TH STREET
WEST PALM BEACH FL 33407

Officer/Director/Trustee Four

NATHANAEL VARGAS
COUNSELOR
624 36TH STREET
WEST PALM BEACH FL 33407

Officer/Director/Trustee Five

BARBARA REMY
SECRETARY GENERAL
624 36TH STREET
WEST PALM BEACH FL 33407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 STEVENSON SAUVAGERE
Signature Title CEO/PRESIDENT
Signature Date 6/12/2020

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