| Field | Data |
|---|---|
| EIN | 86-3744104 |
| Case Number | EO-2021197-000150 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INTEGRITY HEALTH MEDICAL GROUP INC |
| Organization’s Mailing Address | 198 NORTH MCDONOUGH ST |
| City | JONESBORO |
| State | GA |
| ZIP | 30236 |
| Accounting period End | 12 |
| Primary contact name | DETRICH GRANT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SHONTAY JACKSON
CEO & PRESIDENT & DIR
198 NORTH MCDONOUGH ST
JONESBORO GA 30236
RONALD ACKERSON
SECRETARY
198 NORTH MCDONOUGH ST
JONESBORO GA 30236
DETRICH GRANT
TREASURER
3796 SATILLITE BLVD SUITE 201
DULUTH GA 30096
| Organization’s website | WWW.MYINTEGRITYHEALTH.COM |
|---|---|
| Organization’s email | SJACKSON@THECTSI.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/23/2021 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: Yes 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 | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | SHONTAY JACKSON |
| Signature Title | CEO & PRESIDENT & DIR |
| Signature Date | 7/14/2021 |
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