FORM 1023-EZ for MENTAL HEALTH ALERT WRISTBANDS INC
| Field | Data |
|---|---|
| EIN | 84-4974129 |
| Case Number | EO-2020083-000265 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MENTAL HEALTH ALERT WRISTBANDS INC |
| Organization’s Mailing Address | 4035 KESSLER AVE APT 703 |
| City | GARDEN CITY |
| State | GA |
| ZIP | 31408 |
| Accounting period End | 12 |
| Primary contact name | DON VANLANDINGHAM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DOROTHY BAILEY
CEO
4035 KESSLER AVE APT 703
GARDEN CITY GA 31408
Officer/Director/Trustee Two
DEBORAH CAMERON
TREASURER
134 SOUTH PALM DR
BRUNSWICK GA 31525
Officer/Director/Trustee Three
MAGGIE HARRIS
SECRETARY
224 HOLLY HILL RD
RICHMOND HILL GA 31324
Officer/Director/Trustee Four
SHANNON BROCK
DIRECTOR
191 VFW DR
WATKINSVILLE GA 30677
Officer/Director/Trustee Five
STEVE JAMES
DIRECTOR
1260 HIGHLAND CT APT 301
BETHEL PARK PA 15102
| Organization’s website | MENTALHEALTHALERTWRISTBANDS.COM |
|---|---|
| Organization’s email | MHAWRISTBANDS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/27/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | 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 | 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 | DOROTHY BAILEY |
| Signature Title | CEO |
| Signature Date | 3/19/2020 |
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