FORM 1023-EZ for MOMS WITH MS INC

Field Data
EIN 86-3428222
Case Number EO-2021141-000857
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMS WITH MS INC
Organization’s Mailing Address 3900 CROWN RD SW 16709
City ATLANTA
State GA
ZIP 30304
Accounting period End 12
Primary contact name DENJOLI BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENJOLI BROWN
DIRECTOR
3522 FALLEN OAK DRIVE
BUFORD GA 30519

Officer/Director/Trustee Two

RASHAWN BROWN
DIRECTOR
3522 FALLEN OAK DRIVE
BUFORD GA 30519

Officer/Director/Trustee Three

BRIANA BROWN
DIRECTOR
1035 SCALES ROAD
SUWANEE GA 30024

Officer/Director/Trustee Four

KAMIKA BAKER
DIRECTOR
574 WAYCROSS ROAD
CINCINNATI OH 45240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 DENJOLI BROWN
Signature Title DIRECTOR
Signature Date 5/19/2021

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