FORM 1023-EZ for MENTAL HEALTHR ESILIENCE FOUNDATION

Field Data
EIN 85-3120234
Case Number EO-2021202-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL HEALTHR ESILIENCE FOUNDATION
Organization’s Mailing Address 1680 LAWLIS LANE
City SANGER
State TX
ZIP 76266
Accounting period End 9
Primary contact name CRYSTAL WORTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK LAWLIS
DIRECTOR
1680 LAWLIS LANE
SANGER TX 76266

Officer/Director/Trustee Two

DEE MCCLARY
DIRECTOR
1680 LAWLIS LANE
SANGER TX 72662

Officer/Director/Trustee Three

CRYSTAL WORTMAN
DIRECTOR
11621 DALEHURST RD
MORENO VALLEY CA 92555

Officer/Director/Trustee Four

CHRISTINE FULTON
DIRECTOR
3150 WILSHIRE BLVD SUITE 2105
LOS ANGELES CA 90010

Organization’s website WWW.MENTALHEALTHRESILIENCEFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CRYSTAL WORTMAN
Signature Title DIRECTOR
Signature Date 7/19/2021

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