FORM 1023-EZ for MENTAL MUSCLE TEAM

Field Data
EIN 86-2256330
Case Number EO-2021093-000784
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL MUSCLE TEAM
Organization’s Mailing Address 606 E MAIN ST
City ELK POINT
State SD
ZIP 57025
Accounting period End 6
Primary contact name JEFFREY CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY CAMPBELL
DIRECTOR
606 E MAIN ST
ELK POINT SD 57025

Officer/Director/Trustee Two

TRISTAN CAMPBELL
TREASURER
606 E MAIN ST
ELK POINT SD 57025

Officer/Director/Trustee Three

JEFFREY CAMPBELL
BOARD MEMBER
2462 JOHNNYCAKE RD SE
WARREN OH 44484

Officer/Director/Trustee Four

CHAD QUICKLE
BOARD MEMBER
1036 HARDMAN RD
ELLAMORE WV 26267

Organization’s website
Organization’s email MMT4CHANGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2021
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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 JEFFREY CAMPBELL
Signature Title BOARD MEMBER
Signature Date 3/2/2021

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