FORM 1023-EZ for MOLLIES MISSION

Field Data
EIN 84-4015359
Case Number EO-2020079-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOLLIES MISSION
Organization’s Mailing Address 22975 295TH STREET
City NORA SPRINGS
State IA
ZIP 50458
Accounting period End 12
Primary contact name AMY COE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA JOHNSON SIEMS
PRESIDENT
22975 295TH STREET
NORA SPRINGS IA 50458

Officer/Director/Trustee Two

JO ANN PEARCE
TREASURER
15720
MASON CITY IA 50401

Officer/Director/Trustee Three

KAREN SQUIER
SECRETARY
1091 105TH STREET
NORA SPRINGS IA 50458

Officer/Director/Trustee Four

RANDY R MARTENSON
DIRECTOR
22975 295TH ST
NORA SPRINGS IA 50458

Officer/Director/Trustee Five

ANNE C ZOOK
DIRECTOR
410 20TH PLACE SW
MASON CITY IA 50401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 LINDA JOHNSON SIEMS
Signature Title PRESIDENT
Signature Date 3/17/2020

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