FORM 1023-EZ for MIND BOSS INC

Field Data
EIN 84-2137675
Case Number EO-2019284-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIND BOSS INC
Organization’s Mailing Address 148 ROBINDALE W
City BANDERA
State TX
ZIP 78003
Accounting period End 12
Primary contact name ASHLIE FRENCHAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BECKY STOOPS
PRESIDENT
148 ROBINDALE W
BANDERA TX 78003

Officer/Director/Trustee Two

KYLA STOOPS
TREASURER
148 ROBINEDALE W
BANDERA TX 78003

Officer/Director/Trustee Three

ASHLIE FRENCHAK
SECRETARY
148 ROBINDALE W
BANDERA TX 78003

Organization’s website
Organization’s email ASH@AFWEBSERVICES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State TX
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: No
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 ASHLIE FRENCHAK
Signature Title SECRETARY
Signature Date 10/7/19

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