| Field | Data |
|---|---|
| EIN | 84-3347054 |
| Case Number | EO-2020083-000497 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOMINION MENTAL HEALTH AND WELLNESSSERVICES |
| Organization’s Mailing Address | 104 NORTH NICHOLSON CIRCLE |
| City | SAVANNAH |
| State | GA |
| ZIP | 31419 |
| Accounting period End | 12 |
| Primary contact name | MARIA HARRIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MARIA HARRIS
PRESIDENT
104 NORTH NICHOLSON CIRCLE
SAVANNAH GA 31419
CHRISTOPHER HARRIS
VICE PRESIDENT
104 NORTH NICHOLSON CIRCLE
SAVANNAH GA 31419
PHYLISS MCCRAY
SECRETARY
107 SUTTON STREET
JESUP GA 31545
VONQUETTA HARRIS
TREASURER
107 SUTTON STREET
JESUP GA 31545
COREY TIGGS
BOARD MEMBER
3346 REGENT PLACE SW
ATLANTA GA 30311
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/17/2019 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MARIA HARRIS |
| Signature Title | PRESIDENT |
| Signature Date | 3/21/2020 |
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