| Field | Data |
|---|---|
| EIN | 84-2868391 |
| Case Number | EO-2019249-000178 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THRIVE MIND BODY & SOUL FOUNDATIONINC |
| Organization’s Mailing Address | 137B COMMERCE AVE SUITE 247 |
| City | LAGRANGE |
| State | GA |
| ZIP | 30241 |
| Accounting period End | 12 |
| Primary contact name | SELINA DOMINGUEZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SELINA DOMINGUEZ
PRESIDENT / CEO
755 THRASH RD
LAGRANGE GA 30241
JOHN DOMINGUEZ
VICE PRESIDENT
1525 FALLEN LEAF DR
MARIETTA GA 30064
LAURA TYRER
SECRETARY
1311 VERNON STREET
LAGRANGE GA 30240
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/26/19 |
| Organization Incorporation State | GA |
| 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: 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 | 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 | SELINA DOMINGUEZ |
| Signature Title | PRESIDENT / CEO |
| Signature Date | 9/4/19 |
| EIN | 84-2868391 |
| Case Number | EO-2019249-000178 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THRIVE MIND BODY & SOUL FOUNDATION INC |
| Organization’s Mailing Address | 137B COMMERCE AVE SUITE 247 |
| City | LAGRANGE |
| State | GA |
| ZIP | 30241 |
| Accounting period End | 12 |
| Primary contact name | SELINA DOMINGUEZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SELINA DOMINGUEZ
PRESIDENT / CEO
755 THRASH RD
LAGRANGE GA 30241
JOHN DOMINGUEZ
VICE PRESIDENT
1525 FALLEN LEAF DR
MARIETTA GA 30064
LAURA TYRER
SECRETARY
1311 VERNON STREET
LAGRANGE GA 30240
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/26/19 |
| Organization Incorporation State | GA |
| 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: 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 | 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 | SELINA DOMINGUEZ |
| Signature Title | PRESIDENT / CEO |
| Signature Date | 9/4/19 |
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