FORM 1023-EZ for POLARUS BEHAVIORAL HEALTH INC
| Field | Data |
|---|---|
| EIN | 85-1035594 |
| Case Number | EO-2020147-000168 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | POLARUS BEHAVIORAL HEALTH INC |
| Organization’s Mailing Address | 8730 GEORGIA SUITE 300 |
| City | SILVER SPRING |
| State | MD |
| ZIP | 20910 |
| Accounting period End | 12 |
| Primary contact name | ALEXIS HART MCDOWELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN DAKEN
DIRECTOR
7981 EASTERN AVE UNIT 308
SILVER SPRING MD 20910
Officer/Director/Trustee Two
ASHLEY POINTER
DIRECTOR
3112 IRMA COURT
SUITLAND MD 20746
Officer/Director/Trustee Three
CYNTHIA HARRIS
DIRECTOR
1602 CRITTENDEN ST NW
WASHINGTON DC 20011
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/13/2020 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| 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 | Yes |
| 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 | JOHN DAKEN |
| Signature Title | DIRECTOR |
| Signature Date | 5/21/2020 |
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