FORM 1023-EZ for BEYOND SPECTRUM SUPPORTIVE SERVICES

Field Data
EIN 87-1711661
Case Number EO-2021231-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEYOND SPECTRUM SUPPORTIVE SERVICES
Organization’s Mailing Address 2833 GRANDEUR AVENUE
City ALTADENA
State CO
ZIP 91101
Accounting period End 12
Primary contact name JAMES ROUNDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONETTE CLARK
EXECUTIVE DIRECTOR
2833 GRANDEUR AVENUE
ALTADENA CA 91001

Officer/Director/Trustee Two

BRIANNA CLARK
SECRETARY
2839 GRANDEUR AVANUE
ALTADENA CA 91001

Officer/Director/Trustee Three

JEREMIAH CLARK
TREASURER
10248 VINTAGE DRIVE
FORT WORTH TX 76244

Officer/Director/Trustee Four

GLADYS CLARK
DIRECTOR
2833 GRANDEUR AVANUE
ALTADENA CA 91001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MONETTE CLARK
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/17/2021

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