FORM 1023-EZ for TRAVELER ON A MISSION

Field Data
EIN 84-2357564
Case Number EO-2019252-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRAVELER ON A MISSION
Organization’s Mailing Address 1 GARDNERS LANE
City ANSONIA
State CT
ZIP 6401
Accounting period End 12
Primary contact name TANAYA HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANAYA HENRY
FOUNDER
1 GARDNERS LANE
ANSONA CT 6401

Organization’s website HTTPS://THENRY75.WIXSITE.COM/TOAMHYGIENE
Organization’s email TRAVELEROAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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 TANAYA HENRY
Signature Title FOUNDER
Signature Date 9/7/19

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