FORM 1023-EZ for VETERANS MOLD AND MIND INC

Field Data
EIN 82-3263441
Case Number EO-2018074-000079
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS MOLD AND MIND INC
Organization’s Mailing Address 811 JUNIPER STREET NE 1244
City ATLANTA
State GA
ZIP 30308
Accounting period End 3
Primary contact name COREY THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY THOMAS
DIRECTOR
811 JUNIPER STREET 1244
ATLANTA GA 30308

Officer/Director/Trustee Two

CHAD BYRD
DIRECTOR
4550 BUCKSKIN WAY
DOUGLASVILLE GA 30135

Officer/Director/Trustee Three

MICHAEL ROSS
DIRECTOR
811 JUNIPER STREET 1244
ATLANTA GA 30308

Officer/Director/Trustee Four

DARIAN MCDANIEL
OFFICER
811 JUNIPER STREET 1244
ATLANTA GA 30308

Officer/Director/Trustee Five

LARRY NORWOOD
TRUSTEE
811 JUNIPER STREET 1244
ATLANTA GA 30308

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J99 - Employment, Job Related N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COREY THOMAS
Signature Title DIRECTOR
Signature Date 3/13/18

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