FORM 1023-EZ for BRILLIANCE REVEALED MENTAL HEALTH INC

Field Data
EIN 82-3496550
Case Number EO-2020303-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRILLIANCE REVEALED MENTAL HEALTH INC
Organization’s Mailing Address 2336 HACKAMORE DRIVE
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 12
Primary contact name SYLVIA TOLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENIA LARTEY
PRESIDENT
1700 PENNSYLVANNIA AVE SUITE 202
MCDONOUGH GA 30253

Officer/Director/Trustee Two

ANTONIO SMITH
VICE PRESIDENT
3850 BENCHMARK DRIVE
COLLEGE PARK GA 30349

Officer/Director/Trustee Three

CAREALE WILSON
SECRETARY
2336 HACKAMORE DRIVE
COLLEGE PARK GA 30349

Officer/Director/Trustee Four

SYLVIA TOLES
TREASURER
3850 BENCHMARK DRIVE
COLLEGE PARK GA 30349

Organization’s website BRILLIANCEREVEALED.COM
Organization’s email BRILLANCEREVEALEDINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2017
Organization Incorporation State GA
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 EUGENIA LARTEY
Signature Title PRESIDENT
Signature Date 10/27/2020

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