FORM 1023-EZ for MISSION ASSIST INC

Field Data
EIN 47-3895228
Case Number EO-2015160-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION ASSIST INC
Organization’s Mailing Address 53272 MOCCASIN TRAIL RD
City PRAGUE
State OK
ZIP 74864
Accounting period End 12
Primary contact name PHIL GOSS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER LEE
PRESIDENT
53272 MOCCASIN TRAIL RD
PRAGUE OK 74864

Officer/Director/Trustee Two

STEPHANIE LEE
SECRETARY
53272 MOCCASIN TRAIL RD
PRAGUE OK 74864

Organization’s website
Organization’s email DRIVERPASTOR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: No
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 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 Yes
Signature Name
Signature Title
Signature Date

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