FORM 1023-EZ for MOMS ON A MISSION

Field Data
EIN 61-1949074
Case Number EO-2019322-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMS ON A MISSION
Organization’s Mailing Address 1109 LARKWOOD COURT
City VIRGINIA BEACH
State VA
ZIP 23464
Accounting period End 12
Primary contact name JOSHUA A PEARCE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESIREE LATU
DIRECTOR/PRESIDENT/TREASURER
1109 LARKWOOD COURT
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Two

ULUI LATU
DIRECTOR/CO-CHAIRMAN
1109 LARKWOOD COURT
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Three

MAGGIE JO KASSUBA
DIRECTOR/SECRETARY/COMPLIANCE OFF.
816 WAKEDALE ARCH
CHESAPEAKE VA 23322

Organization’s website
Organization’s email MOMSONAMISSIONVA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 DESIREE LATU
Signature Title DIRECTOR/PRESIDENT/TREASURER
Signature Date 11/14/19

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