FORM 1023-EZ for MIRAGE TACTICAL HEROES FOUNDATION

Field Data
EIN 84-4114415
Case Number EO-2020127-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRAGE TACTICAL HEROES FOUNDATION
Organization’s Mailing Address 108 N GIBBS RD
City MOORESVILLE
State NC
ZIP 28117
Accounting period End 1
Primary contact name ROB HIMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB HIMES
PRESIDENT
12624 MOLESWORTH DR
MOUNT AIRY MD 21771

Officer/Director/Trustee Two

KAREN COOK
SECRETARY
314 HOOK RD
WESTMINSTER MD 21157

Officer/Director/Trustee Three

JASON CRAGO
MEMBER AT LARGE
108 N GIBBS RD
MOORESVILLE NC 28117

Organization’s website
Organization’s email MIRAGETACTICALHEROESFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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 ROB HIMES
Signature Title PRESIDENT
Signature Date 5/4/2020

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