FORM 1023-EZ for NATIONAL COUNCIL OF DEMENTIA MINDS

Field Data
EIN 86-3744252
Case Number EO-2021146-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL COUNCIL OF DEMENTIA MINDS
Organization’s Mailing Address PO BOX 342
City ALMA
State MI
ZIP 48801-1235
Accounting period End 12
Primary contact name BRENDA ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONNIE ERICKSON
PRESIDENT
2060 ST ANDREWS
BILLINGS MT 59105-3629

Officer/Director/Trustee Two

DIANA BLACKWELDER
TREASURER
910 M STREET NW APT 810
WASHINGTON DC 20001-6327

Officer/Director/Trustee Three

MARK ROBERTS
SECRETARY
6077 WILDWOOD DRIVE
ELWELL MI 48832-9501

Officer/Director/Trustee Four

BRIAN LEBLANC
VICE PRESIDENT
19029 US HWY 19 UNIT 32F
CLEARWATER FL 33764-3038

Officer/Director/Trustee Five

BRIAN VANBUREN
MEMBER AT LARGE
3809 ATLAS DRIVE
CHARLOTTE NC 28269-4180

Organization’s website DEMENTIAMINDS.ORG
Organization’s email BRENDA@DEMENTIAMINDS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G48 - Brain Disorders
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 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 MARK ROBERTS
Signature Title SECRETARY
Signature Date 5/24/2021

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