FORM 1023-EZ for A TIME TO MAKE A DIFFERENCE - ATTMAD

Field Data
EIN 84-1817349
Case Number EO-2019191-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A TIME TO MAKE A DIFFERENCE - ATTMAD
Organization’s Mailing Address 3053 W CRAIG RD STE E 103
City LAS VEGAS
State NV
ZIP 89032
Accounting period End 12
Primary contact name LEONARD J FOLMAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN MITCHELL
PRESIDENT
4120 COBURN ST
NORTH LAS VEGAS NV 89032

Officer/Director/Trustee Two

JOHN KENDRICK
VICE PRESIDENT
4120 COBURN ST
NORTH LAS VEGAS NV 89032

Officer/Director/Trustee Three

ADRIENNE MITCHELL
SECRETARY
2624 DONNA ST
NORTH LAS VEGAS NV 89032

Officer/Director/Trustee Four

KRISTEN MITCHELL
TREASURER
6468 ZAZU PITTS AVE 103
LAS VEGAS NV 89122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 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 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 ADRIAN MITCHELL
Signature Title PRESIDENT
Signature Date 7/8/19

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