FORM 1023-EZ for MOUNT MORIAH CDC

Field Data
EIN 84-3784155
Case Number EO-2020057-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNT MORIAH CDC
Organization’s Mailing Address 6840 PASCHALL AVENUE
City PHILADELPHIA
State PA
ZIP 19142
Accounting period End 12
Primary contact name DOUGLAS YANCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS YANCY
PRESIDENT-CEO
6840 PASCHALL AVENUE
PHILADELPHIA PA 19142

Officer/Director/Trustee Two

LISA YANCY
VICE PRESIDENT
6840 PASCHALL AVENUE
PHILADELPHIA PA 19142

Officer/Director/Trustee Three

ANDREA JENNINGS
BOARD MEMBERS
407 CROYDEN ROAD
UPPER DARBY PA 19082

Officer/Director/Trustee Four

ANTHONY JONES
BOARD MEMBRS
2509 SOUTH 57TH STREET
PHILADELPHIA PA 19143

Officer/Director/Trustee Five

RAHSHEEM HOLLIS
BOARD MEMBER
126 DUNSINANE ROAD
NEW CASTLE PA 19720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 DOUGLAS YANCY
Signature Title PRESIDENT-CEO
Signature Date 2/24/2020

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