FORM 1023-EZ for GRAYMATTER CONSULTANTS MYBRAINWIIM

Field Data
EIN 82-2055367
Case Number EO-2017188-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAYMATTER CONSULTANTS MYBRAINWIIM
Organization’s Mailing Address 2614 FALLCREEK STREET
City ARLINGTON
State TX
ZIP 76014
Accounting period End 1
Primary contact name MARY KITCHEN-NEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY KITCHEN-NEAL
CHIEF EXECUTIVE OFFICER/CONSULTANT
2614 FALLCREEK STREET
ARLINGTON TX 76014

Officer/Director/Trustee Two

LONITA FANTROY
CHIEF OPERATION OFFICER/CONSULTANT
113 KEITH DRIVE
NACHITOCHES LA 71457

Officer/Director/Trustee Three

JEANNE DELANEY
COORDINATOR/CONSULTANT
5627
ELKGROVE CA 95757

Officer/Director/Trustee Four

GEORGE WILLIAMS
ADVISORY BOARD/CONSULTANT
7801 COLONIAL DRIVE
PRAIRIE VILLAGE KS 66208

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2005
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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