FORM 1023-EZ for SHAME-LESS MENTAL HEALTH MATTERS INC

Field Data
EIN 87-1929875
Case Number EO-2021214-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAME-LESS MENTAL HEALTH MATTERS INC
Organization’s Mailing Address 1848 GOLF RIDGE DRIVE
City S BLOOMFIELD HILLS
State MI
ZIP 48302
Accounting period End 12
Primary contact name GIANNA BORRELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GIANNA BORRELLO
PRESIDENT
1848 GOLF RIDGE DRIVE
S BLOOMFIELD HILLS MI 48302

Officer/Director/Trustee Two

THERESA PAVONE
VICE PRESIDENT
1848 GOLF RIDGE DRIVE
S BLOOMFIELD HILLS MI 48302

Officer/Director/Trustee Three

ANTHONY BORRELLO
SECRETARY
1848 GOLF RIDGE DRIVE
S BLOOMFIELD HILLS MI 48302

Officer/Director/Trustee Four

NATALIE MADOUN
TREASURER
1848 GOLF RIDGE DRIVE
S BLOOMFIELD HILLS MI 48302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 GIANNA BORRELLO
Signature Title PRESIDENT
Signature Date 7/30/2021

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