| Field | Data |
|---|---|
| EIN | 81-1632672 |
| Case Number | EO-2019248-000386 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MALE BEHAVIORAL HEALTH |
| Organization’s Mailing Address | 81 MILL ST SUITE 300 |
| City | GAHANNA |
| State | OH |
| ZIP | 43230 |
| Accounting period End | 12 |
| Primary contact name | JEWEL WOODS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LARRY CLARK
PRESIDENT
145 SOUTH ST CLAIR UNIT 21
TOLEDO OH 44074
AG MILLER
VICE PRESIDENT
251 HOLLYWOOD ST
OBERLIN OH 44074
WILLIAM MARCUS
BOARD SECRETARY
19230 WINSLOW ROAD
SHAKER HEIGHTS OH 44122
MICHAEL ASOMANING
BOARD PRESIDENT-ELECT
5966 BLAVERLY DR
NEW ALBANY OH 43054
JEWEL WOODS
EXECUTIVE DIRECTOR
81 MILL ST SUITE 300
GAHANNA OH 43230
| Organization’s website | WWW.MBHINC.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/29/16 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JEWEL WOODS |
| Signature Title | BOARD MEMBER |
| Signature Date | 9/3/19 |
| EIN | 81-1632672 |
| Case Number | EO-2016084-000290 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MALE BEHAVIORAL HEALTH |
| Organization’s Mailing Address | 1298 CRYSTAL TREE COURT |
| City | BLACKLICK |
| State | OH |
| ZIP | 43004 |
| Accounting period End | 12 |
| Primary contact name | JEWEL WOODS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
LARRY CLARK
PRESIDENT
145 SOUTH ST CLAIR ST NO 21
TOLEDO OH 43604
A G MILLER
VICE PRESIDENT
251 HOLLYWOOD ST
OBERLIN OH 44074
BILL MARCUS
BOARD MEMBER
19230 WINSLOW RD
SHAKER HEIGHTS OH 44122
JEWEL WOODS
SECRETARY/TREASURER
1298 CRYSTAL TREE COURT
BLACKLICK OH 43004
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/28/2016 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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