FORM 1023-EZ for MOSAIC PLACE
| Field | Data |
|---|---|
| EIN | 87-1484071 |
| Case Number | EO-2021200-000150 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOSAIC PLACE |
| Organization’s Mailing Address | 270 MOORE ROAD |
| City | DOWNINGTOWN |
| State | PA |
| ZIP | 19335 |
| Accounting period End | 12 |
| Primary contact name | DONALD J WEISS ESQ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMY MCHUGH
BOARD MEMBER
270 MOORE ROAD
DOWNINGTOWN PA 19335
Officer/Director/Trustee Two
NICOLE KRUTZKE
BOARD MEMBER
231 MURRAY SCHOOL ROAD
POTTSTOWN PA 19465
Officer/Director/Trustee Three
CORINA SCHAD
BOARD MEMBER
231 MURRAY SCHOOL ROAD
POTTSTOWN PA 19465
Officer/Director/Trustee Four
DIANE POCE
BOARD MEMBER
106 GLENDALE ROAD
EXTON PA 19341
Officer/Director/Trustee Five
SUE RUSHING
BOARD MEMBER
6 KENMORE ROAD
YARDLEY PA 19067
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/29/2021 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | AMY MCHUGH |
| Signature Title | BOARD MEMBER |
| Signature Date | 7/15/2021 |
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