FORM 1023-EZ for MYSOURCE INC
| Field | Data |
|---|---|
| EIN | 82-3472779 |
| Case Number | EO-2017328-000408 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MYSOURCE INC |
| Organization’s Mailing Address | 4202 FAYETTE CIRCLE |
| City | RICHMOND |
| State | VA |
| ZIP | 23222 |
| Accounting period End | 12 |
| Primary contact name | JAMES DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES DAVIS
DIRECTOR PRESIDENT
4202 FAYETTE CIRCLE
RICHMOND VA 23222
Officer/Director/Trustee Two
ELLIOTT EDDIE
DIRECTOR SECRETARY
1595 CONSTITUTION DR
HENRICO VA 23238
Officer/Director/Trustee Three
VALERIE BELL
DIRECTOR TREASURER
5311 BLUE RIDGE AVE
RICHMOND VA 23231
Officer/Director/Trustee Four
MELDON JENKINS-JONES
DIRECTOR
3815 FALSTONE RD
CHESTERFIELD VA 23234
Officer/Director/Trustee Five
PATRICIA PARKS
DIRECTOR
2713 HILLCREST ROAD
RICHMOND VA 23225
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/31/2017 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | 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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