FORM 1023-EZ for NAMI JACKSONVILLE

Field Data
EIN 86-1051888
Case Number EO-2014357-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI JACKSONVILLE
Organization’s Mailing Address PO BOX 304
City JACKSONVILLE
State AL
ZIP 36265-0304
Accounting period End 9
Primary contact name GLORIA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLORIA JOHNSON
PRESIDENT
PO BOX 304
JACKSONVILLE AL 36265-0304

Officer/Director/Trustee Two

RUFUS KINNEY
TREASURER
PO BOX 304
JACKSONVILLE AL 36265-0304

Officer/Director/Trustee Three

MINDY CHEYNE
MEMBERSHIP CHAIRPERSON
PO BOX 304
JACKSONVILLE AL 36265-0304

Officer/Director/Trustee Four

LINDA SHELTON
VICE PRESIDENT
PO BOX 304
JACKSONVILLE AL 36265-0304

Officer/Director/Trustee Five

LINDSEY BAUCOM
SECRETARY
PO BOX 304
JACKSONVILLE AL 36265-0304

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2005
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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