FORM 1023-EZ for SIERRA LEONE MENTAL HEALTH INITIATIVE

Field Data
EIN 46-2657123
Case Number EO-2017039-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIERRA LEONE MENTAL HEALTH INITIATIVE
Organization’s Mailing Address 100 DENNISTON AVENUE/ 9
City PITTSBURGH
State PA
ZIP 15206-4029
Accounting period End 12
Primary contact name MANDY GARBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANDY GARBER
OFFICER
100 DENNISTON AVENUE/ 9
PITTSBURGH PA 15206-4029

Officer/Director/Trustee Two

AYANA JORDAN
OFFICER
224 WOOSTER STREET/3L
NEW HAVEN CT 06511-5716

Officer/Director/Trustee Three

JOHN CONTEH
OFFICER
1190 GABRIELLE ELAINE DRIVE/204
COLUMBUS OH 43228-8834

Organization’s website MENTALHEALTHSL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2013
Organization Incorporation State PA
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: Yes
Scientific: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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