FORM 1023-EZ for PEACEFUL MOMENTS INC

Field Data
EIN 47-4749512
Case Number EO-2018100-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEACEFUL MOMENTS INC
Organization’s Mailing Address PO BOX 400478
City HESPERIA
State CA
ZIP 92340
Accounting period End 6
Primary contact name SHAUNE YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA HILL
PRESIDENT
PO BOX 400478
HESPERIA CA 92340

Officer/Director/Trustee Two

SHARON MATTHEW
TREASURER
PO BOX 400478
HESPERIA CA 92340

Officer/Director/Trustee Three

MYISHA HAYES
SECRETRARY
PO BOX 400478
HESPERIA CA 92340

Officer/Director/Trustee Four

NIESHA MCKEE
DIRECTOR
PO BOX 400478
HESPERIA CA 92340

Officer/Director/Trustee Five

MIATRA YOUNG
DIRECTOR
PO BOX 400478
HESPERIA CA 92340

Organization’s website PEACEFULMOMENTS.ORG
Organization’s email INSPIRE@PEACEFULMOMENTS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 VICTORIA HILL
Signature Title PRESIDENT
Signature Date 4/5/18

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