FORM 1023-EZ for OCD MID-ATLANTIC CORPORATION

Field Data
EIN 27-2674833
Case Number EO-2015061-000445
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OCD MID-ATLANTIC CORPORATION
Organization’s Mailing Address 11227 LOCKWOOD DRIVE
City SILVER SPRING
State MD
ZIP 20901
Accounting period End 12
Primary contact name SHANNON SHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES MANSUETO
PRESIDENT
11227 LOCKWOOD DRIVE
SILVER SPRING MD 20901

Officer/Director/Trustee Two

THOMAS WADDELL
TREASURER
425 8TH STREET NW APT 1130
WASHINGTON DC 20003

Officer/Director/Trustee Three

SHANNON SHY
CHAIRMAN, GOVERNANCE
6170 OAKLAWN LANE
WOODBRIDGE VA 22193

Officer/Director/Trustee Four

GLORIA MATHES
SECRETARY
11227 LOCKWOOD DRIVE
SILVER SPRING MD 20901

Officer/Director/Trustee Five

GREGORY CHASSON
CHAIRMAN, PROGRAMS
1212 YORK ROAD A302
LUTHERVILLE MD 21093-6240

Organization’s website HTTP://WWW.OCDMIDATLANTIC.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2010
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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