FORM 1023-EZ for BULLOCK COUNTY MENTAL HEALTH FOUNDATION INC

Field Data
EIN 63-0906630
Case Number EO-2016043-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BULLOCK COUNTY MENTAL HEALTH FOUNDATION INC
Organization’s Mailing Address 200 CHERRY STREET
City TROY
State AL
ZIP 36081-2044
Accounting period End 9
Primary contact name ELIZABETH C SMITHART ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEARA REED
CHAIRMAN
165 HARPER STREET
UNION SPRINGS AL 36089

Officer/Director/Trustee Two

DON SCHOFIELD
VICE CHAIRMAN
200 CHERRY STREET
TROY AL 36081-2044

Officer/Director/Trustee Three

DONNIE PARKER
SECRETARY
209 WEST HARDAWAY AVENUE
UNION SPRINGS AL 36089

Officer/Director/Trustee Four

ROBERT KRUGER
TREASURER
402 COUNTRY CLUB DRIVE
UNION SPRINGS AL 36089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/1985
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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