FORM 1023-EZ for SIEARRAS MISSION

Field Data
EIN 85-3462182
Case Number EO-2021273-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIEARRAS MISSION
Organization’s Mailing Address 28839 DETROIT RD
City WESTLAKE
State OH
ZIP 44145
Accounting period End 12
Primary contact name SIEARRA HOLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIEARRA HOLLINS
CREATOR
27688 WESTCHESTER PKWY G
WESTLAKE OH 44145

Officer/Director/Trustee Two

PAM STARGEN
ACCOUNTANT
28839 DETROIT RD
WESTLAKE OH 44145

Officer/Director/Trustee Three

ERRICK HARGROVE
VICE PRESIDENT
27688 WESTCHESTER PKWY G
WESTLAKE OH 44145

Organization’s website WWW.SIEARRASMISSION.ORG
Organization’s email SIEARRASMISSION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 10/14/2020
Organization Incorporation State OH
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
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 No
Signature Name SIEARRA HOLLINS
Signature Title CREATOR
Signature Date 9/29/2021

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