FORM 1023-EZ for THE GRATITUDE MINDSET

Field Data
EIN 85-2222424
Case Number EO-2020230-000667
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GRATITUDE MINDSET
Organization’s Mailing Address 7002 W WHITEDOVE LANE APT 203
City MIDDLEBURG HEIGHTS
State OH
ZIP 44130-8451
Accounting period End 12
Primary contact name CUSTOMER SERVICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRA HENDERSON
OFFICER
1424 GOLDEN GATE APT K-5
MAYFIELD HEIGHTS OH 44124-1863

Officer/Director/Trustee Two

ANIQUA BAILEY
BOARD SECRETARY
8851 CLOVERLAWN
DETROIT MI 48204-2728

Officer/Director/Trustee Three

RON BRUCE
BOARD PRESIDENT
4492 PARKTON DR
WARRENSVILLE HEIGHTS OH 44128-1051

Officer/Director/Trustee Four

JOHN TWYMON
OFFICER
14409 EDGEWOOD AVE
CLEVELAND OH 44128-1051

Officer/Director/Trustee Five

CHYRA WHITE
BOARD TREASURER
6545 GROSSE DRIVE
BROOKPARK OH 44142-3437

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2020
Organization Incorporation State OH
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: 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 TYRA HENDERSON
Signature Title OFFICER
Signature Date 8/14/2020

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