FORM 1023-EZ for MOTH CORPORATION
| Field | Data |
|---|---|
| EIN | 84-1843669 |
| Case Number | EO-2021093-000454 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOTH CORPORATION |
| Organization’s Mailing Address | 800 ROCKY BAYOU DR |
| City | PINEVILLE |
| State | LA |
| ZIP | 71360 |
| Accounting period End | 9 |
| Primary contact name | HARRY W HAYES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HARRY HAYES
EXECUTIVE DIRECTOR
112 BEACON HILL
PINEVILLE LA 71360
Officer/Director/Trustee Two
BRANDON ODOM
DIRECTOR
4040 PARLIAMENT DR APT 135
ALEXANDRIA LA 71301
Officer/Director/Trustee Three
JEREMY METOYER
DIRECTOR
400 UNIVERSITY AVE
ALEXANDRIA LA 71301
Officer/Director/Trustee Four
JULIAN BERRY
PRESIDENT
525 VERSAILLES BLVD
ALEXANDRIA LA 71301
Officer/Director/Trustee Five
LINDELL REED
TREASURER
803 DASPIT ST
ALEXANDRIA LA 71301
| Organization’s website | WWW.MOTHCORP.ORG |
|---|---|
| Organization’s email | WALTERH@MOTHCORP.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/2/2019 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O21 - Boys Clubs |
| 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 | 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 | JULIAN BERRY |
| Signature Title | PRESIDENT |
| Signature Date | 3/1/2021 |
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