FORM 1023-EZ for MASONS MISSION INC

Field Data
EIN 84-2967005
Case Number EO-2019252-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASONS MISSION INC
Organization’s Mailing Address 1038 WILLIS DRIVE
City JACKSONVILLE
State FL
ZIP 32205
Accounting period End 12
Primary contact name JOHN NOVEMBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN SHARPE
PRESIDENT, DIRECTOR
1038 WILLIS DRIVE
JACKSONVILLE FL 32205

Officer/Director/Trustee Two

OWEN RUPERT
TREASURER, DIRECTOR
1463 TALBOT DRIVE
JACKSONVILLE FL 32205

Officer/Director/Trustee Three

JOHN NOVEMBER
SECRETARY, DIRECTOR
536 SOUTH STREET
NEPTUNE BEACH FL 32266

Organization’s website N/A
Organization’s email MASONSMISSION904@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 JOHN NOVEMBER
Signature Title SECRETARY, DIRECTOR
Signature Date 9/6/19

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