FORM 1023-EZ for THEIA FOUNDATION OF NEW MEXICO

Field Data
EIN 83-3946947
Case Number EO-2019268-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEIA FOUNDATION OF NEW MEXICO
Organization’s Mailing Address 2513 LA CHARLES DR NE
City ALBUQUERQUE
State NM
ZIP 87112-2024
Accounting period End 12
Primary contact name DEBORAH MOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH MOY
PRESIDENT
2513 LA CHARLES DR NE
ALBUQUERQUE NM 87112-2024

Officer/Director/Trustee Two

NICOLE JACOBS
VICE-PRESIDENT
41 NORTH WASHBURN LANE
EDGEWOOD NM 87105

Officer/Director/Trustee Three

CHARLES JAYNES
SECRTARY/TREASURER
2513 LA CHARLES DR NE
ALBUQUERQUE NM 87112-2024

Organization’s website NONE
Organization’s email DLM.ECFY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/19
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH MOY
Signature Title PRESIDENT
Signature Date 9/23/19

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