FORM 1023-EZ for MISSION 54 COMMUNITY OUTREACH

Field Data
EIN 82-2318656
Case Number EO-2017271-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION 54 COMMUNITY OUTREACH
Organization’s Mailing Address 3820 VITRUVIAN WAY
City ADDISON
State TX
ZIP 75001
Accounting period End 12
Primary contact name ADRIAN HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN HAMILTON
PRESIDENT
3820 VITRUVIAN WAY
ADDISON TX 75001

Officer/Director/Trustee Two

RUBEL HARMON
VICE PRESIDENT
1427 HIDDEN VALLEY DRIVE
DALLAS TX 75243

Officer/Director/Trustee Three

SHAUNDRA COLEMAN
SECRETARY
1128 NORMANDY AVENUE
DESOTO TX 75115

Officer/Director/Trustee Four

LILLIE HARMON
TREASURER
1315 MISTY GLEN LANE
DALLAS TX 75232

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 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 No
One Third Support Gifts Yes
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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