FORM 1023-EZ for ROCKING MENTAL HEALTH NFP INC

Field Data
EIN 87-2041647
Case Number EO-2021245-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKING MENTAL HEALTH NFP INC
Organization’s Mailing Address 308 VICTORIA DRIVE
City NORMAL
State IL
ZIP 61761
Accounting period End 12
Primary contact name JASON KEHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON KEHL
PRES&CEO&FOUNDER&EXECDIR
308 VICTORIA DRIVE
NORMAL IL 61761

Officer/Director/Trustee Two

JENNIFER KEHL
SECRET&VP&VPMARKET&DIREC
308 VICTORIA DRIVE
NORMAL IL 61761

Officer/Director/Trustee Three

DANIEL LONG
TREASURER&DIRECTOR&VICEP
308 VICTORIA DRIVE
NORMAL IL 61761

Organization’s website ROCKINGMENTALHEALTH.COM
Organization’s email JASON.KEHL@ROCKINGMENTALHEALTH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 JASON KEHL
Signature Title PRES&CEO&FOUNDER&EXECDIR
Signature Date 8/31/2021

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