FORM 1023-EZ for MISSION 22 SIX INC

Field Data
EIN 47-1405412
Case Number EO-2015148-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION 22 SIX INC
Organization’s Mailing Address 15455 N DALLAS PARKWAY SUITE 600
City ADDISON
State TX
ZIP 75001-6760
Accounting period End 12
Primary contact name BROOKE ASIATICO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MITCHELL NORBY
DIRECTOR, PRESIDENT
15455 N DALLAS PARKWAY SUITE 600
ADDISON TX 75001-6760

Officer/Director/Trustee Two

MIKE WOODDELL
DIRECTOR, SECRETARY
15455 N DALLAS PARKWAY SUITE 600
ADDISON TX 75001-6760

Officer/Director/Trustee Three

LESLIE KRAVITZ
DIRECTOR, TREASURER
15455 N DALLAS PARKWAY SUITE 600
ADDISON TX 75001-6760

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2014
Organization Incorporation State TX
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: Yes
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
Signature Title
Signature Date

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