FORM 1023-EZ for MINORITY MENTAL HEALTH PROJECT INC

Field Data
EIN 84-2261631
Case Number EO-2020114-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINORITY MENTAL HEALTH PROJECT INC
Organization’s Mailing Address 642 SOUTH 2ND STREET STE 1007
City LOUISVILLE
State KY
ZIP 40202
Accounting period End 12
Primary contact name DAMON COBBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMON COBBLE
PRESIDENT
642 SOUTH 2ND STREET STE 1007
LOUISVILLE KY 40202

Officer/Director/Trustee Two

DEBORAH BARNES-BYERS
SECRETARY
642 SOUTH 2ND STREET STE 1007
LOUISVILLE KY 40202

Officer/Director/Trustee Three

FORREST CLAY
TREASURE
642 SOUTH 2ND STREET STE 1007
LOUISVILLE KY 40202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 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 DAMON COBBLE
Signature Title PRESIDENT
Signature Date 4/21/2020

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