FORM 1023-EZ for SPECIAL WITH A SIDE OF MOM INC

Field Data
EIN 83-3584778
Case Number EO-2019050-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIAL WITH A SIDE OF MOM INC
Organization’s Mailing Address 240 LONGMONT LANE
City AUSTIN
State TX
ZIP 78737
Accounting period End 12
Primary contact name JAMIE DE GRASSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA SHIPLEY
PRESIDENT
142 NEWCASTLE CT
AUSTIN TX 78737

Officer/Director/Trustee Two

JAMIE DE GRASSE
CEO
240 LONGMONT LN
AUSTIN TX 78737

Officer/Director/Trustee Three

MARK DE GRASSE
CMO
240 LONGMONT LANE
AUSTIN TX 78737

Organization’s website WWW.SPECIALWITHASIDEOFMOM.COM
Organization’s email SPECIALWITHASIDEOFMOM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMIE DE GRASSE
Signature Title CEO
Signature Date 2/14/19

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