FORM 1023-EZ for MINDCURE INC

Field Data
EIN 86-3315212
Case Number EO-2021253-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDCURE INC
Organization’s Mailing Address 106 POLLASKY AVE D
City CLOVIS
State CA
ZIP 93612
Accounting period End 12
Primary contact name DERRELL CARLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA WINEGARDEN
PRESIDENT & DIRECTOR
106 POLLASKY STE D
CLOVIS CA 93612

Officer/Director/Trustee Two

TANYA JOHNSEN
TREASURER
182 N VALLEY OAKS CIRCLE
SPRING TX 77832

Officer/Director/Trustee Three

TYNAN WINEGARDEN
SECRETARY
182 N VALLEY OAKS CIRCLE
SPRING TX 77832

Organization’s website WWW.ACHIEVEMENTSUNLIMITED.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 DEBRA WINEGARDEN
Signature Title PRESIDENT & DIRECTOR
Signature Date 9/8/2021

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