FORM 1023-EZ for MOMS ON A MISSION TO SUCCEED

Field Data
EIN 83-2966266
Case Number EO-2019112-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMS ON A MISSION TO SUCCEED
Organization’s Mailing Address 3246 WHEELOCK DRIVE
City RACINE
State WI
ZIP 53405
Accounting period End 3
Primary contact name ELAINE DE LA CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELAINE DE LA CRUZ
DIRECTOR
3246 WHEELOCK DRIVE
RACINE WI 53405

Officer/Director/Trustee Two

NAKEYDA HAYMER
OFFICER
4320 KENNEDY DRIVE
RACINE WI 53404

Officer/Director/Trustee Three

ALISHA CHE
SECRETARY
1618 ILLINOIS STREET
RACINE WI 53405

Officer/Director/Trustee Four

PATRICIA EVANS
TRUSTEE
3118 16TH STREET
RACINE WI 53405

Organization’s website
Organization’s email MOMSONAMISSIONTOSUCCEED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 ELAINE DE LA CRUZ
Signature Title DIRECTOR
Signature Date 4/17/19

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