FORM 1023-EZ for MENTALHAUS

Field Data
EIN 85-3630670
Case Number EO-2020302-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTALHAUS
Organization’s Mailing Address 2300 SOUTH MICHIGAN AVE APT 704
City CHICAGO
State IL
ZIP 60616
Accounting period End 4
Primary contact name MICHAEL SILVERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE TANNER SILVERMAN
FOUNDER AND ARTISTIC DIRECTOR
2300 SOUTH MICHIGAN APT 704
CHICAGO IL 60616

Officer/Director/Trustee Two

MICHAEL SILVERMAN
FOUNDER AND MANAGING DIRECTOR
2300 SOUTH MICHIGAN APT 704
CHICAGO IL 60616

Officer/Director/Trustee Three

STEVE SILVERMAN
BOARD CHAIRMAN
12753 TIARA ST
VALLEY VILLAGE CA 91607

Officer/Director/Trustee Four

ADITYA OZA
BOARD OF DIRECTORS TREASURER
6127 ALONZO AVE
ENCINO CA 91316

Officer/Director/Trustee Five

KENNEDY SALTERS
BOARD OF DIRECTORS
115 CYPRESS DR
COVINGTON GA 30016

Organization’s website WWW.MENTALHAUS.ORG
Organization’s email MENTALHAUS.THEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
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 Yes
Conducting Activities Outside of United States Yes
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 MICHAEL SILVERMAN
Signature Title FOUNDER AND MANAGING DIRECTOR
Signature Date 10/26/2020

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