FORM 1023-EZ for NAMI ROME INC

Field Data
EIN 47-1607909
Case Number EO-2014260-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI ROME INC
Organization’s Mailing Address 3 CENTRAL PLAZA BOX 317
City ROME
State GA
ZIP 30161
Accounting period End 12
Primary contact name JIM MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM MOORE
PRESIDENT
504 EAST 9TH ST
ROME GA 30161

Officer/Director/Trustee Two

JOHN REINERS
SECRETARY
1220 MT ALTO RD
ROME GA 30165

Officer/Director/Trustee Three

JOEL PIERCE
TREASURER
113 BROWN FOX DR
ROME GA 30165

Officer/Director/Trustee Four

FRANCES HELTON
DIRECTOR
186 HUNTERS TRAIL
CALHOUN GA 30701

Officer/Director/Trustee Five

MARTA TURNER
DIRECTOR
204 SHERWOOD DR
ROME GA 30165

Organization’s website WWW.NAMIROMEGA.ORG
Organization’s email NAMIROMEGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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
Signature Title
Signature Date

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