FORM 1023-EZ for WITH YOU IN MIND INC

Field Data
EIN 46-4573088
Case Number EO-2017215-000535
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WITH YOU IN MIND INC
Organization’s Mailing Address 5918 COUNTRY WALK DRIVE
City CHAROLETTE
State CA
ZIP 28212-4510
Accounting period End 10
Primary contact name DEATRIA GATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEATRIA GATES
CEO
836 NORTH ACACIA STREET
INGLEWOOD CA 90302-1214

Officer/Director/Trustee Two

ORACEE RUSSELL
SECRETARY
879 WET 190TH STREET SUITE 400
GARDENA CA 90248-4223

Officer/Director/Trustee Three

MARCIA JAMES
TREASURER
6709 LATIJERA BOULEVARDSUITE 352
LOS ANGELES CA 90045-2017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
EIN 46-4573088
Case Number EO-2014233-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WITH YOU IN MIND INC
Organization’s Mailing Address 5918 COUNTRY WALK DRIVE
City CHARLOTTE
State NC
ZIP 28212-4510
Accounting period End 10
Primary contact name ANGELA JETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA JETER
TREASURER
5918 COUNTRY WALK DRIVE
CHARLOTTE NC 28212-4510

Officer/Director/Trustee Two

VALERIE CUMBERLANDER
SECRETARY
5918 COUNTRY WALK DRIVE
CHARLOTTE NC 28212-4510

Officer/Director/Trustee Three

DEATRIA GATES
CEO/PRESIDENT
5918 COUNTRY WALK DRIVE
CHARLOTTE NC 28212-4510

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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