| Field | Data |
|---|---|
| EIN | 47-4840329 |
| Case Number | EO-2016159-000113 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | A SOUND MIND REHABILITATION INSTITUTION INC |
| Organization’s Mailing Address | 5574 GRAMMERCY DRIVE SW |
| City | ATLANTA |
| State | GA |
| ZIP | 30349 |
| Accounting period End | 12 |
| Primary contact name | JANIS DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
EDDIE ROY DAVIS
PRESIDENT AND CEO
5574 GRAMMERCY DRIVE SW
ATLANTA GA 30349
OLUMAYOWA OLJAMUYIWA
COO
1532 HAVEN CREST DR
POWDER SPRINGS GA 30127
SHIELA PRITCHARD
PREVENTION CONSULTANT OFFICER
75 WASHINGTON STREET UNIT 1544
FAIRBURN GA 30213
ROSLYN ALLISON
CFO
75 WASHINGTON STREET UNIT 1532
FAIRBURN GA 30213
JULIA BAKER
CHIEF EXECUTIE OF ACCOUNTING
1038 BOSEMAN DRIVE
LITHIA SPRINGS GA 30122
| Organization’s website | |
|---|---|
| Organization’s email | EDDIEROY06@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/4/2012 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H42 - Ear and Throat Research |
| 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 | |
| Signature Title | |
| Signature Date |
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