FORM 1023-EZ for PUNISHERS LEMC FREE STATE CHAPTER

Field Data
EIN 87-1679254
Case Number EO-2021200-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUNISHERS LEMC FREE STATE CHAPTER
Organization’s Mailing Address 340 ORANGE DRIVE
City LAUREL
State MS
ZIP 39443-0889
Accounting period End 12
Primary contact name THOMAS MOZINGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MOZINGO
PRESIDENT
340 ORANGE DRIVE
LAUREL MS 39443-0889

Officer/Director/Trustee Two

CHRISTOPHER PITTS
VICE PRESIDENT
1245 HWY 15 SOUTH
LAUREL MS 39443-4702

Officer/Director/Trustee Three

JASON MANN
SECRETARY-TREASURER
70 GLADE CIRCLE
LAUREL MS 39443-0871

Organization’s website
Organization’s email PUNISHERSLEMCFREESTATE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 THOMAS MOZINGO
Signature Title PRESIDENT
Signature Date 7/15/2021
EIN 87-1679254
Case Number EO-2021200-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUNISHERS LEMC FREE STATE CHAPTER
Organization’s Mailing Address 340 ORANGE DRIVE
City LAUREL
State MS
ZIP 39443-0889
Accounting period End 12
Primary contact name THOMAS MOZINGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MOZINGO
PRESIDENT
340 ORANGE DRIVE
LAUREL MS 39443-0889

Officer/Director/Trustee Two

CHRISTOPHER PITTS
VICE PRESIDENT
1245 HWY 15 SOUTH
LAUREL MS 39443-4702

Officer/Director/Trustee Three

JASON MANN
SECRETARY-TREASURER
70 GLADE CIRCLE
LAUREL MS 39443-0871

Organization’s website
Organization’s email PUNISHERSLEMCFREESTATE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 THOMAS MOZINGO
Signature Title PRESIDENT
Signature Date 7/15/2021

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