FORM 1023-EZ for CP DUAL DIAGNOSIS
| Field | Data |
|---|---|
| EIN | 86-1350951 |
| Case Number | EO-2021097-001034 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CP DUAL DIAGNOSIS |
| Organization’s Mailing Address | 1415 BELL AVENUE |
| City | ALTOONA |
| State | PA |
| ZIP | 16602 |
| Accounting period End | 6 |
| Primary contact name | JESSICA DUNN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JESSICA DUNN
EXECUTIVE DIRECTOR/PRESIDENT
1415 BELL AVENUE
ALTOONA PA 16602
Officer/Director/Trustee Two
JOSEPH LANDOLFI
TREASURER
2906 5TH AVE
ALTOONA PA 16602
Officer/Director/Trustee Three
WAYNE HEADLEY
SECRETARY
158 GRIER AVE
BARNSVILLE PA 18214
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/19/2021 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| 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 | 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 | JESSICA DUNN |
| Signature Title | EXECUTIVE DIRECTOR/PRESIDENT |
| Signature Date | 3/16/2021 |
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