FORM 1023-EZ for ACCESS MENTAL HEALTH GROUP
| Field | Data |
|---|---|
| EIN | 86-2865974 |
| Case Number | EO-2021100-000530 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ACCESS MENTAL HEALTH GROUP |
| Organization’s Mailing Address | 277 HIGHWAY 74 N SUITE 306 |
| City | PEACHTREE CITY |
| State | GA |
| ZIP | 30269 |
| Accounting period End | 12 |
| Primary contact name | SHANNON THOMPSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LEE FRANKLIN
PRESIDENT
401 CANTERBURY WAY
JONESBORO GA 30236
Officer/Director/Trustee Two
SHANNON THOMPSON
EXECUTIVE DIRECTOR
4147 WOODLAND PARK DR SW
ATLANTA GA 30331
Officer/Director/Trustee Three
PAULA MITCHELL
CHIEF FINANCIAL OFFICER
3920 PERRY PASS
LITHONIA GA 30038
Officer/Director/Trustee Four
KEYA FULTON
CHIEF OPERATIONS OFFICER
111 MISSING LAKE DR
ELLENWOOD GA 30294
Officer/Director/Trustee Five
ANN FULTON
SECRETARY
970 SIDNEY MARCUS BLVD NE UNIT 1101
ATLANTA GA 30324
| Organization’s website | WWW.ACCESSMENTALHEALTHGROUP.COM |
|---|---|
| Organization’s email | ACCESSMENTALHEALTHGROUP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/11/2021 |
| 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: 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 | SHANNON THOMPSON |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 3/25/2021 |
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