FORM 1023-EZ for NATIONAL CONSORTIUM FOR MENTAL HEALTH COUNSELORS NCMHC

Field Data
EIN 83-1321760
Case Number EO-2020132-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL CONSORTIUM FOR MENTAL HEALTH COUNSELORS NCMHC
Organization’s Mailing Address 800 CORPORATE DRIVE SUITE 301
City STAFFORD
State VA
ZIP 22554
Accounting period End 12
Primary contact name DOROTHY BUTTS-VALENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY BUTTS-VALENTINE
PRESIDENT
93 HIGH RIDGE DRIVE
STAFFORD VA 22554

Officer/Director/Trustee Two

ALELIANNE WARREN
VICE PRESIDENT
3030 BLUEBIRD LANE APT 101
MELBANE NC 27302

Organization’s website WWW.NCMHC.ORG
Organization’s email DBUTTS-VALENTINE@NCMHC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 DOROTHY BUTTS-VALENTINE
Signature Title PRESIDENT
Signature Date 5/8/2020

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