FORM 1023-EZ for MENTAL HEALTH FOUNDATION SC

Field Data
EIN 86-3258060
Case Number EO-2021180-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL HEALTH FOUNDATION SC
Organization’s Mailing Address 1001 AVE B SUITE 200
City CLOQUET
State MN
ZIP 55720
Accounting period End 12
Primary contact name TIM WEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY WEBER
PRESIDENT
609 E 3RD STREET
SUPERIOR WI 54880

Officer/Director/Trustee Two

LIZ HUNTER
VICE PRESIDENT
609 E 3RD STREET
SUPERIOR WI 54880

Officer/Director/Trustee Three

JEREMY BREW
TREASURER
1621 WYOMING STREET
SUPERIOR WI 54880

Organization’s website NORTHLANDMHF.COM
Organization’s email HELP@NORTHLANDMHF.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIMOTHY WEBER
Signature Title PRESIDENT
Signature Date 6/27/2021

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