FORM 1023-EZ for MOSAIC BY THIS MAMA WINES

Field Data
EIN 83-4194641
Case Number EO-2019176-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSAIC BY THIS MAMA WINES
Organization’s Mailing Address 8814 VETERANS MEMORIAL BLVD
City METAIRIE
State LA
ZIP 70003
Accounting period End 12
Primary contact name BRANDON MCNABB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON MCNABB
TREASURER
4201 BEAUNE DR
KENNER LA 70065

Officer/Director/Trustee Two

COURTNEY CLARK
VICE PRESIDENT
2103 BANNING PLACE
HYATTSVILLE MD 20783

Officer/Director/Trustee Three

BRANDI BOYD
MEMBER AT LARGE
6915 THOMAS TRL
KATY TX 77493

Officer/Director/Trustee Four

CHRISTINE MCNABB
PRESIDENT
4201 BEAUNE DR
KENNER LA 70065

Officer/Director/Trustee Five

LAWRENCE MASON
GOVERNANCE
1290 20TH AVE APT 405
SAN FRANCISCO CA 94122

Organization’s website WWW.THISMAMAWINES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, 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 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 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 BRANDON MCNABB
Signature Title TREASURER
Signature Date 6/20/19

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