FORM 1023-EZ for THE EYES ON YOUR MISSION PROJECT

Field Data
EIN 81-5082671
Case Number EO-2017072-000464
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE EYES ON YOUR MISSION PROJECT
Organization’s Mailing Address 785 LITTLE RIVER DRIVE
City MIAMI
State FL
ZIP 33150
Accounting period End 12
Primary contact name JESSICA KIZOREK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA KIZOREK
PRESIDENT
785 LITTLE RIVER DRIVE
MIAMI FL 33150

Officer/Director/Trustee Two

MIKE FURNITURE
VICE PRESIDENT
720 N LARRABEE STREET
CHICAGO IL 60651

Officer/Director/Trustee Three

ELLEN BRISTOL
SECRETARY
1100 SW 130TH AVE
PEMBROKE PINE FL 33027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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