FORM 1023-EZ for FISHEN WITH A MISSION

Field Data
EIN 83-2133985
Case Number EO-2018291-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FISHEN WITH A MISSION
Organization’s Mailing Address 4412 LANDMARK RD
City GROVEPORT
State OH
ZIP 43125
Accounting period End 12
Primary contact name SHELLEY TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUAN TAYLOR
PRESIDENT & DIRECTOR
4412 LANDMARK RD
GROVEPORT OH 43125

Officer/Director/Trustee Two

SHELLEY TAYLOR
TREASURER & DIRECTOR
4412 LANDMARK RD
GROVEPORT OH 43125

Organization’s website N/A
Organization’s email FISHENWAM@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
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 SHELLEY TAYLOR
Signature Title TREASURER & DIRECTOR
Signature Date 10/16/18

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