FORM 1023-EZ for MENTAL HEALTH HACKERS
| Field | Data |
|---|---|
| EIN | 83-2575321 |
| Case Number | EO-2019100-000203 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MENTAL HEALTH HACKERS |
| Organization’s Mailing Address | PO BOX 463 |
| City | OAK HARBOR |
| State | OH |
| ZIP | 43449 |
| Accounting period End | 12 |
| Primary contact name | AMANDA BERLIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMANDA BERLIN
CHIEF EXECUTIVE OFFICER
426
OAK HARBOR OH 43449
Officer/Director/Trustee Two
CHUCK THALMAN
CHIEF OPERATING OFFICER
1820 REES HILL RD SE UNIT 11
SALEM OR 97306
Officer/Director/Trustee Three
MEGAN RODDIE
CHIEF FINANCIAL OFFICER
2307 LOGAN DR
ROUND ROCK TX 78664
Officer/Director/Trustee Four
ANDY COOPER
CHIEF EMOTIONAL OFFICER
1513 BARCLAY DRIVE
RICHARDSON TX 75081
Officer/Director/Trustee Five
COURTNEY ALLEN
CHIEF SERENITY OFFICER
179 S STONECHASE CROSSING RD
BLOOMINGTON IN 47403
| Organization’s website | WWW.MENTALHEALTHHACKERS.ORG |
|---|---|
| Organization’s email | INFO@MENTALHEALTHHACKERS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/14/18 |
| Organization Incorporation State | OH |
| 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: Yes 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 | AMANDA BERLIN |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 4/8/19 |
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