FORM 1023-EZ for THE MOTHER GOOSE FOUNDATION

Field Data
EIN 81-4896688
Case Number EO-2017041-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MOTHER GOOSE FOUNDATION
Organization’s Mailing Address PO BOX 385
City JOPLIN
State MO
ZIP 64802
Accounting period End 12
Primary contact name TYRONE FERRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE FERRELL
PRESIDENT, DIRECTOR
PO BOX 385
JOPLIN MO 64802

Officer/Director/Trustee Two

ASHIKA JACOBS
SECRETARY, DIRECTOR
PO BOX 385
JOPLIN MO 64802

Officer/Director/Trustee Three

QUANDREKA BENNETT
TREASURER, DIRECTOR
PO BOX 385
JOPLIN MO 64802

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State MO
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 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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