FORM 1023-EZ for RENOVATION OF THE MIND INC

Field Data
EIN 81-4409096
Case Number EO-2016321-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENOVATION OF THE MIND INC
Organization’s Mailing Address 1010 RACHELS DRIVE
City SUFFOLK
State VA
ZIP 23434
Accounting period End 12
Primary contact name ALETHA TILLMAN-FALLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALETHA TILLMAN-FALLS
FOUNDER
1010 RACHELS DRIVE
SUFFOLK VA 23434

Officer/Director/Trustee Two

MIRONDA REID
PRESIDENT
1012 RACHELS DRIVE
SUFFOLK VA 23434

Officer/Director/Trustee Three

RAYMONETTE FERGUSON-SAUNDER
VICE PRESIDENT
1000 LITTON LANE
SUFFOLK VA 23434

Organization’s website
Organization’s email ALETHAFALLS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 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
Signature Title
Signature Date

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