FORM 1023-EZ for MHC DIVERSITY

Field Data
EIN 82-2054988
Case Number EO-2019154-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MHC DIVERSITY
Organization’s Mailing Address 32 FRANKLIN STREET
City MARTINSVILLE
State VA
ZIP 24112-3906
Accounting period End 6
Primary contact name ALICIA MURRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA MURRAY
EXECUTIVE DIRECTOR
911 GATES STREET
MARTINSVILLE VA 24112-3906

Officer/Director/Trustee Two

CANDI MURRAY
CHIEF FINANCIAL OFFICER
909 GATES STREET
MARTINSVILLE VA 24112-3906

Officer/Director/Trustee Three

CHERUBINO PACIFICO
COMMUNITY RELATIONS SPECIALIST
1234 KNOLLWOOD PLACE
MARTINSVILLE VA 24112-3906

Organization’s website MHCDIVERSITY.ORG
Organization’s email MHCDFINN@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/4/17
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
Organization’s purpose Charitable: No
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 ALICIA MURRAY
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/30/19

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