FORM 1023-EZ for PEER ALLIANCE OF NEVADA

Field Data
EIN 47-2864239
Case Number EO-2021147-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEER ALLIANCE OF NEVADA
Organization’s Mailing Address 3936 GOLDFIELD STREET
City NORTH LAS VEGAS
State NV
ZIP 89032-8106
Accounting period End 12
Primary contact name SHELLIE KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLIE KELLER
PRESIDENT
3936 GODLFIELD STREET
NORTH LAS VEGAS NV 89032-8106

Officer/Director/Trustee Two

ROBYN ROHDE
VICE PRESIDENT
217 PANCHO VIA DRIVE
HENDERSON NV 89012-5016

Officer/Director/Trustee Three

GINA PHILLIPS
TREASURER
4646 BIRD VIEW COURT
LAS VEGAS NV 89129

Officer/Director/Trustee Four

ASHLEY KAHR
SECRETARY
6355 S RILEY ST NUMBER 354
LAS VEGAS NV 89148-0009

Officer/Director/Trustee Five

ALYSA GRIMES
DIRECTOR
10990 FISHERS ISLAND STREET
LAS VEGAS NV 89141-4353

Organization’s website WWW.NIMHA.ORG
Organization’s email SHELLIE@NIMHA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2019
Organization Incorporation State NV
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: 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 Yes
Correctness Declaration Yes
Signature Name SHELLIE KELLER
Signature Title PRESIDENT
Signature Date 5/26/2021
EIN 47-2864239
Case Number EO-2015058-000182
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEER ALLIANCE OF NEVADA - PAN INC
Organization’s Mailing Address PO BOX 91827
City HENDERSON
State NV
ZIP 89009-1827
Accounting period End 12
Primary contact name JO ANNA RIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JO ANNA RIOS
DIRECTOR AND PRESIDENT
1027 NEW CREEK AVENUE
HENDERSON NV 89015-3709

Officer/Director/Trustee Two

CAMILLE JONES
DIRECTOR AND SECRETARY
1220 SULLIVAN LANE
SPARKS NV 89431-3554

Officer/Director/Trustee Three

LEEANN ALLEN
DIRECTOR AND TREASURER
1755 AUCTION ROAD APARTMENT 119
FALLON NV 89406-2609

Officer/Director/Trustee Four

KEVIN IHRKE
DIRECTOR
8200 DEFIANCE AVENUE
LAS VEGAS NV 89129-6850

Organization’s website WWW.PEERALLIANCEOFNEVADA.ORG
Organization’s email PEERALLIANCEOFNEVADA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2015
Organization Incorporation State NV
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: Yes
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 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
Signature Title
Signature Date

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