FORM 1023-EZ for GNOMEN MENTAL HEALTH INSTITUTE CORP

Field Data
EIN 86-2067514
Case Number EO-2021123-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GNOMEN MENTAL HEALTH INSTITUTE CORP
Organization’s Mailing Address 21130 BUDLONG AVE
City TORRANCE
State CA
ZIP 90502
Accounting period End 12
Primary contact name MANNY GOBUYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA SANCHEZ
PRESIDENT & DIRECTOR
21130 BUDLONG AVE
TORRANCE CA 90502

Officer/Director/Trustee Two

TISAYA KARNNET
ASSISTANT DIRECTOR
8701 VALLEYVIEW STREET
BUENA PARK CA 90620

Officer/Director/Trustee Three

SUZIL TAN
TREASURER
642 S EUCLID ST
FULLERTON CA 92832

Officer/Director/Trustee Four

JONATHON KAATZ
SECRETARY
122 N MAGNOLIA AVE APT 145
ANAHEIM CA 92801

Organization’s website
Organization’s email RAYTRISH1456@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2021
Organization Incorporation State CA
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: 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 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 PATRICIA SANCHEZ
Signature Title PRESIDENT & DIRECTOR
Signature Date 4/30/2021

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