FORM 1023-EZ for A NEW SPIRIT BEHAVIORAL HEALTH FOUNDATION

Field Data
EIN 85-0940282
Case Number EO-2020128-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A NEW SPIRIT BEHAVIORAL HEALTH FOUNDATION
Organization’s Mailing Address 1300 I STREET NW SUTIE 400E
City WASHINGTON
State DC
ZIP 20005
Accounting period End 12
Primary contact name DONYALE HOOPER-REAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE RAY
PRESIDENT
1150 FIRST AVENUE
KING OF PRUSSIA PA 19406

Officer/Director/Trustee Two

PAM GALLIMORE
DIRECTOR
1150 FIRST AVENUE
KING OF PRUSSIA PA 19406

Officer/Director/Trustee Three

DOCTOR DARREN MCKINNEY
DIRECTOR
1150 FIRST AVENUE
KING OF PRUSSIA PA 19406

Officer/Director/Trustee Four

TOMMY DAVIS
DIRECTOR
1150 FIRST AVENUE
KING OF PRUSSIA PA 19406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2020
Organization Incorporation State PA
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: Yes
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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DENISE RAY
Signature Title PRESIDENT
Signature Date 5/5/2020

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