FORM 1023-EZ for I GIVE A MOOSE

Field Data
EIN 82-5490898
Case Number EO-2019056-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I GIVE A MOOSE
Organization’s Mailing Address 7031 THORNCLIFF DR
City CHARLOTTE
State NC
ZIP 28210-6509
Accounting period End 12
Primary contact name ALLISON NEILSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER NEILSEN
PRESIDENT
7031 THORNCLIFF DR
CHARLOTTE NC 28210-6509

Officer/Director/Trustee Two

ALLISON NEILSEN
CHIEF FINANCIAL OFFICER
7031 THORNCLIFF DR
CHARLOTTE NC 28210-6509

Officer/Director/Trustee Three

ALEXANDRA HAZEN
TREASURER
7031 THORNCLIFF DR
CHARLOTTE NC 28210-6509

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CHRISTOPHER NEILSEN
Signature Title PRESIDENT
Signature Date 2/21/19

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