FORM 1023-EZ for KEY CHANGES THERAPY FOUNDATION

Field Data
EIN 83-0986896
Case Number EO-2018178-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEY CHANGES THERAPY FOUNDATION
Organization’s Mailing Address 1900 SUNSET BLVD
City WEST COLUMBIA
State SC
ZIP 29169-5454
Accounting period End 6
Primary contact name NATALIE MULLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE MULLIS
DIRECTOR
309 SUMMERLEA DR
COLUMBIA SC

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NATALIE MULLIS
Signature Title DIRECTOR
Signature Date 6/25/18

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