FORM 1023-EZ for MILITARY MENTAL HEALTH COALITION

Field Data
EIN 82-3522558
Case Number EO-2018046-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILITARY MENTAL HEALTH COALITION
Organization’s Mailing Address 4337 ONYX DRIVE
City EAGAN
State MN
ZIP 55122
Accounting period End 12
Primary contact name SHELBY HADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA JENSEN
PRESIDENT
24194 TROBEC ST
ALBANY MN 56307

Officer/Director/Trustee Two

SHELBY HADLEY
VICE PRESIDENT
155 2ND ST SW
RICE MN 56367-4556

Officer/Director/Trustee Three

MARY GALES-WENZ
TREASURER
4337 ONYX DRIVE
EAGAN MN 55122

Officer/Director/Trustee Four

LISA BITTNER
SECRETARY
1201 S DALE DR
SIOUX FALLS SD 57110

Organization’s website HTTP://WWW.MILITARYMENTALHEALTHCOALITION.COM/
Organization’s email INFO@MILITARYMENTALHEALTHCOALITION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: No
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 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 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 SHELBY HADLEY
Signature Title VICE PRESIDENT
Signature Date 2/13/18

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