FORM 1023-EZ for MISSION 516 INC

Field Data
EIN 82-4725941
Case Number EO-2020161-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION 516 INC
Organization’s Mailing Address 122 CARONDELET COURT
City BOSSIER CITY
State LA
ZIP 71111
Accounting period End 12
Primary contact name ED BALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL WILLIAMS
PRESIDENT
122 CARONDELET COURT
BOSSIER CITY LA 71111

Officer/Director/Trustee Two

DONNA COX
DIRECTOR
22 DOVER CIRCLE
BOSSIER CITY LA 71111

Officer/Director/Trustee Three

PAM HALEY
DIRECTOR
236 GLOUCESTER DRIVE
BOSSIER CITY LA 71111

Officer/Director/Trustee Four

APRIL MUSGRAVE
DIRECTOR
2915 JUNE LANE
BOSSIER CITY LA 71112

Officer/Director/Trustee Five

ROBERT QUICK
DIRECTOR
3118 OLIVER STREET
BOSSIER CITY LA 71112

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2018
Organization Incorporation State LA
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 Yes
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 MICHAEL WILLIAMS
Signature Title PRESIDENT
Signature Date 6/7/2020

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