FORM 1023-EZ for BOSS MOM LIVING FOUNDATION INC

Field Data
EIN 85-3377713
Case Number EO-2020287-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOSS MOM LIVING FOUNDATION INC
Organization’s Mailing Address 1622 FALLOWFIELD COURT
City CROFTON
State MD
ZIP 21114
Accounting period End 12
Primary contact name KINJI RIDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIA GATES
DIRECTOR
1622 FALLOWFIELD COURT
CROFTON MD 21114

Officer/Director/Trustee Two

HARVEY GATES
BOARD MEMBER
1622 FALLOWFIELD COURT
CROFTON MD 21114

Officer/Director/Trustee Three

ANTHONY WILLIAMS
BOARD MEMBER
3351 KILLINGSWORTH LN
PFLUGERVILLE TX 78660

Officer/Director/Trustee Four

SUSAN WILLIAMS
BOARD MEMBER
1760 N RIDGE RD 1202
MCKINNEY TX 75071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 ANTONIA GATES
Signature Title DIRECTOR
Signature Date 10/8/2020

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