FORM 1023-EZ for A MINDS WAY HOME
| Field | Data |
|---|---|
| EIN | 86-1995667 |
| Case Number | EO-2021090-000601 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | A MINDS WAY HOME |
| Organization’s Mailing Address | 102 CHARLES LATHAM DR |
| City | JACKSON |
| State | TN |
| ZIP | 38301 |
| Accounting period End | 12 |
| Primary contact name | TALEA BROWN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVENE KING
BOARD MEMBER
8331 BLUE RIDGE DRIVE
SOUTHAVEN MS 38672
Officer/Director/Trustee Two
TERRY BROWN
PRESIDENT
102 CHARLES LATHAM DR
JACKSON TN 38301
Officer/Director/Trustee Three
JOSEPH BROWN
VICE-PRESIDENT
416 SANHICAN DR
TRENTON NJ 08618
Officer/Director/Trustee Four
NARICIA FUTRELL
BOARD MEMBER
4646 POPLAR AVE STE 325
JACKSON TN 38117
Officer/Director/Trustee Five
TALEA BROWN
EXECUTIVE DIRECTOR
102 CHARLES LATHAM DR
JACKSON TN 38301
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/9/2021 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | TALEA BROWN |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/19/2021 |
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