FORM 1023-EZ for MODEL MUGGING SELF DEFENSE

Field Data
EIN 47-2562658
Case Number EO-2015012-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MODEL MUGGING SELF DEFENSE
Organization’s Mailing Address 1502 FOOTHILL FLVD NUM 103-202
City LA VERNE
State CA
ZIP 91750
Accounting period End 12
Primary contact name MARK VINCI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK VINCI
PRESIDENT AND DIRECTOR
1146 SANDHURST LANE
LA VERNE CA 91750

Officer/Director/Trustee Two

JOHNNA MODENE
VICE PRESIDENT
405 PARK F-1
BASALT CO 81621

Officer/Director/Trustee Three

TRACY KRAUS
SECRETARY
526 LAKESIDE AVE S APT 1
SEATTLE WA 98144

Officer/Director/Trustee Four

JESSICA ELLIS
TREASURER
16761 GREEN LANE D
HUNTINGTON BEACH CA 92649

Officer/Director/Trustee Five

MING DOOLEY
BOARD MEMBER
830 PISMO COURT
SAN DEIGO CA 92109

Organization’s website WWW.MODELMUGGING.ORG
Organization’s email INFO@MODELMUGGING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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