FORM 1023-EZ for HILDAS PLACE BEHAVIORAL HEALTH ORGANIZATION

Field Data
EIN 83-3950330
Case Number EO-2019074-000801
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILDAS PLACE BEHAVIORAL HEALTH ORGANIZATION
Organization’s Mailing Address 2480 ROXBURY MILLS RD SUITE10
City GLENWOOD
State MD
ZIP 21738
Accounting period End 12
Primary contact name THERESA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA THOMAS
EXECUTIVE DIRECTOR
2480 ROXBURY MILLS RD STE 10
GLENWOOD MD 21735

Officer/Director/Trustee Two

NICOLE TEASDELL-TREASURE
TREASURER
11389 LITTLE PATUXENT PKWY APT 911
COLUMBIA MD 21044

Officer/Director/Trustee Three

VELDA AUGUSTINE
VICE PRESIDENT
4103 FOX HOLLOW LANE
RANDALLSTOWN MD 21133

Officer/Director/Trustee Four

JAMES BROWN
PRESIDENT
2480 ROXBURY MILLS RD STE 10
GLENWOOD MD 21735

Organization’s website
Organization’s email THERESA5535@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 Yes
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 THERESA THOMAS
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/13/19

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