FORM 1023-EZ for MOSAICOS CULTURAL ENRICHMENT CORPORATION

Field Data
EIN 84-2086479
Case Number EO-2019198-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSAICOS CULTURAL ENRICHMENT CORPORATION
Organization’s Mailing Address 669 CTY HWY N
City STOUGHTON
State WI
ZIP 53589
Accounting period End 7
Primary contact name YOLIBETH CREDIT RANGEL-FITZGIBBON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOLIBETH RANGEL-FITZGIBBON
EXECUTIVE DIRECTOR
669 CTY HWY N
STOUGHTON WI 53589

Officer/Director/Trustee Two

KATHLEEN NELSON-HIPKE
PRESIDENT
9921 N TOLLES RD
EVANSVILLE WI 53536

Officer/Director/Trustee Three

ANGELA LAWRENCE
TREASURER
208 CHICAGO ST
STOUGHTON WI 53589

Officer/Director/Trustee Four

KRISTI SLACK
VOTING MEMBER
5601 LAKE MENDOTA DR
MADISON WI 53705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
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 Yes
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 YOLIBETH RANGEL-FITZGIBBON
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/14/19

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