FORM 1023-EZ for TOTAL RESTORATION MIND BODY SOUL SPIRIT INC

Field Data
EIN 83-1161464
Case Number EO-2018330-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOTAL RESTORATION MIND BODY SOUL SPIRIT INC
Organization’s Mailing Address 6403 N 42ND STREET
City MILWAUKEE
State WI
ZIP 53209
Accounting period End 12
Primary contact name VICKIE G KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKIE KENNEDY
PRESIDENT
6403 N 42ND STREET
MILWAUKEE WI 53209

Officer/Director/Trustee Two

TRACEY SIMS
VICE-PRESIDENT
6035 N 112TH STREET
MILWAUKEE WI 53225

Officer/Director/Trustee Three

JOHN THOMAS
CONTROLLER
8709 W HAMPTON AVE
MILWAUKEE WI 53225

Organization’s website
Organization’s email TOTALRESTORATIONMBSS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 VICKIE KENNEDY
Signature Title PRESIDENT
Signature Date 11/24/18

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