FORM 1023-EZ for THAIRAPY

Field Data
EIN 38-4158164
Case Number EO-2021083-000977
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THAIRAPY
Organization’s Mailing Address 822 SEABREEZE DR
City AVON
State IN
ZIP 46123
Accounting period End 12
Primary contact name NASTASSJA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NASTASSJA LEWIS
PRESIDENT
822 SEABREEZE DRIVE
AVON IN 46123

Officer/Director/Trustee Two

BRENT LYLE
VICE PRESIDENT
822 SEABREEZE DRIVE
AVON IN 46123

Officer/Director/Trustee Three

ANGELEE CRAWFORD
TREASURER
822 SEABREEZE DRIVE
AVON IN 46123

Officer/Director/Trustee Four

FAREN JONES
SECRETARY
822 SEABREEZE DRIVE
AVON IN 46123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 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 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 NASTASSJA LEWIS
Signature Title PRESIDENT
Signature Date 11/17/2020

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