FORM 1023-EZ for THE YOUTH MENTAL HEALTH PROJECT

Field Data
EIN 81-2079516
Case Number EO-2016201-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE YOUTH MENTAL HEALTH PROJECT
Organization’s Mailing Address 6 CRICKET LANE
City DOBBS FERRY
State NY
ZIP 10522
Accounting period End 12
Primary contact name PENINA LIEBER ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDI SILVERMAN
PRESIDENT
6 CRICKET LANE
DOBBS FERRY NY 10522

Officer/Director/Trustee Two

ALISA BERNARD
SECRETARY
FORDS LANDING / 2 FRANKLIN ST
ALEXANDRIA VA 22314

Officer/Director/Trustee Three

CARINA RUSH
TREASURER
81 ALLVIEW AVENUE
BREWSTER NY 10509

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - 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 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 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
Signature Title
Signature Date

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