FORM 1023-EZ for MISSION 2819 INC

Field Data
EIN 82-0735081
Case Number EO-2017072-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION 2819 INC
Organization’s Mailing Address 604 TENNYSON CT
City O FALLON
State IL
ZIP 62269-7084
Accounting period End 12
Primary contact name MICHAEL L HORSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HORSEY
DIRECTOR
604 TENNYSON CT
O FALLON IL 62269-7084

Officer/Director/Trustee Two

DEANNA HORSEY
DIRECTOR
604 TENNYSON CT
O FALLON IL 62269-7084

Officer/Director/Trustee Three

ANDREW HORSEY
DIRECTOR
604 TENNYSON CT
O FALLON IL 62269-7084

Officer/Director/Trustee Four

CARNETTA KINSER
DIRECTOR
500 N ELDON 48
SPRINGFIELD MO 65802

Officer/Director/Trustee Five

DAVID HORSEY
DIRECTOR
3701 N PICKWICK CT
SPRINGFIELD MO 65803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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