FORM 1023-EZ for MANY FACES OF MOEBIUS SYNDROME
| Field | Data |
|---|---|
| EIN | 84-2368069 |
| Case Number | EO-2019226-000380 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MANY FACES OF MOEBIUS SYNDROME |
| Organization’s Mailing Address | PO BOX 1203 |
| City | PARKER |
| State | CO |
| ZIP | 80134 |
| Accounting period End | 12 |
| Primary contact name | DEREK W WHITE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIMOTHY SMITH
PRESIDENT
11744
REMINGTON VA 22734
Officer/Director/Trustee Two
ANDREA SWEETWOOD-SMITH
SECRETARY
11583 TERRAWOOD LN
PARKER CO 80134
Officer/Director/Trustee Three
KACIE NIEVESMASSOL
TREASURER
5466 WEST HINSDALE PL
LITTLETON CO 80128
Officer/Director/Trustee Four
DEREK WHITE
EXECUTIVE DIRECTOR
10221 184TH AVE SW
ROCHESTER WA 98579
| Organization’s website | WWW.MFOMS.ORG |
|---|---|
| Organization’s email | TEAM@TEAMMOEBIUS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/11/19 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DEREK WHITE |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 8/12/19 |
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