FORM 1023-EZ for MENTAL HEALTH SUPERHEROES

Field Data
EIN 84-1962450
Case Number EO-2019210-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL HEALTH SUPERHEROES
Organization’s Mailing Address 39677 N ZAMPINO ST
City SAN TAN VALLEY
State AZ
ZIP 85140
Accounting period End 6
Primary contact name CHRISTIN PIKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIN PIKE
PRESIDENT/CEO
39677 N ZAMPINO ST
SAN TAN VALLEY AZ 85140

Officer/Director/Trustee Two

JARED PIKE
VICE PRESIDENT
39677 N ZAMPINO ST
SAN TAN VALLEY AZ 85140

Officer/Director/Trustee Three

JODYKAY COMBS
TREASURER
21223 N 31ST AVE
PHOENIX AZ 85027

Officer/Director/Trustee Four

DANA EDWARDS
SECRETARY
3133 W QUAIL TRACK DR
PHOENIX AZ 85083

Organization’s website MENTALHEALTHSUPERHEROES.ORG
Organization’s email CPIKE@MENTALHEALTHSUPERHEROES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/19
Organization Incorporation State AZ
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: 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 Yes
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 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 CHRISTIN PIKE
Signature Title PRESIDENT/CEO
Signature Date 7/25/19

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