FORM 1023-EZ for MOSSIES PLACE

Field Data
EIN 47-1454386
Case Number EO-2014251-000606
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSSIES PLACE
Organization’s Mailing Address 510 W 53RD ST
City LOS ANGELES
State CA
ZIP 90037
Accounting period End 12
Primary contact name MOSSIE HOLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOSSIE HOLLEY
PRESIDENT
510 W 53RD ST
LOS ANGELES CA 90037

Officer/Director/Trustee Two

STACIE DUFF
EXECUTIVE DIRECTOR
510 W 53RD ST
LOS ANGELES CA 90037

Officer/Director/Trustee Three

NATHANIEL COLMORE
VICE PRESIDENT
510 W 53RD ST
LOS ANGELES CA 90037

Officer/Director/Trustee Four

PAMELA WILKENSON
SECRETARY
510 W 53RD ST
LOS ANGELES CA 90037

Officer/Director/Trustee Five

JOVITA BILLUPS
TREASURER
510 W 53RD ST
LOS ANGELES CA 90037

Organization’s website WWW.FACEBOOK.COM/MOSSIESPLACE
Organization’s email MOSSIESPLACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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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