FORM 1023-EZ for THE MOSAIC INSTITUTE OF GREATER DAYTON

Field Data
EIN 47-3432368
Case Number EO-2015146-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MOSAIC INSTITUTE OF GREATER DAYTON
Organization’s Mailing Address 43 SOUTH MAIN STREET
City MIAMISBURG
State OH
ZIP 45342
Accounting period End 12
Primary contact name JESSICA MCMILLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA MCMILLAN
DIRECTOR
2561 FLOWERSTONE DRIVE
DAYTON OH 45449

Officer/Director/Trustee Two

CATHY GARDNER
CHAIRMAN
4471 BUCKEYE LANE
BEAVERCREEK FL 45440

Officer/Director/Trustee Three

TANYA POWELL
VICE PRESIDENT
2561 FLOWERSTONE DRIVE
DAYTON OH 45449

Officer/Director/Trustee Four

TABITHA GUIDONE
VICE PRESIDENT
1026 WENRICK DR
BEAVERCREEK OH 45434

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts 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 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
Signature Title
Signature Date

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