FORM 1023-EZ for SPIRIT MOUNTAIN HEALING SERVICES

Field Data
EIN 85-2663676
Case Number EO-2021189-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRIT MOUNTAIN HEALING SERVICES
Organization’s Mailing Address 18118 E CHANDLER HEIGHTS RD
City GILBERT
State AZ
ZIP 85298-9204
Accounting period End 12
Primary contact name MICHELLE GOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE GOSS
PRESIDENT
18118 E CHANDLER HEIGHTS RD
GILBERT AZ 85298-9204

Officer/Director/Trustee Two

FLOYD GOSS
OFFICER
18118 E CHANDLER HEIGHTS RD
GILBERT AZ 85298-9204

Organization’s website
Organization’s email MICHELLE.SPIRITMOUNTAIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 MICHELLE GOSS
Signature Title PRESIDENT
Signature Date 7/6/2021

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