FORM 1023-EZ for ONE MIND AT A TIME FOUNDATION

Field Data
EIN 81-1084607
Case Number EO-2019065-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE MIND AT A TIME FOUNDATION
Organization’s Mailing Address 1015 ANACOSTIA ROAD SE
City WASHINGTON
State DC
ZIP 20019
Accounting period End 12
Primary contact name RODNEY MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURTIS CHAMBERS
MEMBER
1015 ANACOSTIA ROAD
WASHINGTON DC 20019

Officer/Director/Trustee Two

CLARENCE GREEN
MEMBER
1319 5TH STREET NW
WASHINGTON DC 20001

Officer/Director/Trustee Three

TYNESIA MCCRAY
MEMBER
3023 M STREET SE
WASHINGTON DC 20019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/16
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 CURTIS CHAMBERS
Signature Title MEMBER
Signature Date 3/4/19

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