FORM 1023-EZ for MOTIVATED MOVEMENT INC

Field Data
EIN 83-2088718
Case Number EO-2018292-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTIVATED MOVEMENT INC
Organization’s Mailing Address 424 ROYAL CREST DR
City RICHARDSON
State TX
ZIP 75081
Accounting period End 12
Primary contact name MICHAEL GRISHMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DILWORTH
DIRECTOR
424 ROYAL CREST DR
RICHARDSON TX 75081

Officer/Director/Trustee Two

LABORIS BEAN
DIRECTOR
1107 HARSON CT
GLENN HEIGHTS TX 75706

Officer/Director/Trustee Three

FRANCELIA DILWORTH
DIRECTOR
9723 ANN AVE
TYLER TX 75706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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 KEVIN DILWORTH
Signature Title DIRECTOR
Signature Date 10/17/18

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