FORM 1023-EZ for CAN MOZAMBIQUE INC

Field Data
EIN 84-2498130
Case Number EO-2019217-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAN MOZAMBIQUE INC
Organization’s Mailing Address 2502 ROBIN ST
City SLIDELL
State LA
ZIP 70460
Accounting period End 12
Primary contact name ELYSE STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELYSE STEVENS
OFFICER
2502 ROBIN ST
SLIDELL LA 70460

Officer/Director/Trustee Two

RUSSELL STEVENS
OFFICER
2502 ROBIN ST
SLIDELL LA 70460

Officer/Director/Trustee Three

STEPHANIE DIETZ
OFFICER
2502 ROBIN ST
SLIDELL LA 70460

Officer/Director/Trustee Four

JONATHAN TRUNELL
OFFICER
2502 ROBIN ST
SLIDELL LA 70460

Officer/Director/Trustee Five

JANINE TINKHAM
OFFICER
2502 ROBIN ST
SLIDELL LA 70460

Organization’s website
Organization’s email ELYSE.SPARKLS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State LA
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: 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 ELYSE STEVENS
Signature Title OFFICER
Signature Date 8/2/19

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