FORM 1023-EZ for A BEAUTIFUL MIND INC

Field Data
EIN 84-1915970
Case Number EO-2019154-000579
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A BEAUTIFUL MIND INC
Organization’s Mailing Address 9046 S JUSTINE STREET UNIT 1
City CHICAGO
State IL
ZIP 60620-5033
Accounting period End 6
Primary contact name SANDRA BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHIQUITA LEE
PRESIDENT/CHAIRPERSON/EX DIRECTOR
9
CHICAGO SC 60620-5033

Officer/Director/Trustee Two

VIRGINIA GREEN
VICE-PRESIDENT/CO-TREASURER
23 S OAKLEY
CHICAGO IL 60612

Officer/Director/Trustee Three

EFREM LEE JR
SECRETARY
1939 W ASHBROOKE RD
CHICAGO IL 60446

Organization’s website
Organization’s email ADMMH2019@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 CHIQUITA LEE
Signature Title PRESIDENT/CHAIRPERSON/EX DIRECTOR
Signature Date 6/1/19

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