FORM 1023-EZ for MOTHERS AND DAUGHTERS FOR LIFE MD4L

Field Data
EIN 84-2812751
Case Number EO-2019240-000045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHERS AND DAUGHTERS FOR LIFE MD4L
Organization’s Mailing Address 6845 GRIGGS STREET
City FORT WORTH
State TX
ZIP 76140
Accounting period End 12
Primary contact name LACIE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LACIE DAVIS
PRESIDENT
6845 GRIGGS STREET
FORT WORTH TX 76140

Officer/Director/Trustee Two

RIKKITA CRISS
SECRETARY
6845 GRIGGS STREET
FORT WORTH TX 76140

Officer/Director/Trustee Three

KESHA SMALL
TREASURER
6845 GRIGGS STREET
FORT WORTH TX 76140

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R24 - Women's Rights
Organization’s purpose Charitable: Yes
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 LACIE DAVIS
Signature Title PRESIDENT
Signature Date 8/23/19

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