FORM 1023-EZ for MENTAL HEALTH EDUCATION & RESEARCHINC

Field Data
EIN 87-1356099
Case Number EO-2021189-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL HEALTH EDUCATION & RESEARCHINC
Organization’s Mailing Address 127 W FAIRBANKS AVE STE 520
City WINTER PARK
State FL
ZIP 32789
Accounting period End 12
Primary contact name DAVID PUDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID PUDER
PRESIDENT
127 W FAIRBANKS AVE STE 520
WINTER PARK FL 32789

Officer/Director/Trustee Two

JONATHAN NOWLIN
SECRETARY
127 W FAIRBANKS AVE STE 520
WINTER PARK FL 32789

Officer/Director/Trustee Three

AARON HIGGINBOTHAM
TREASURER
127 W FAIRBANKS AVE STE 520
WINTER PARK FL 32789

Organization’s website
Organization’s email ADMIN@MEDICALEDUCATIONRESEARCH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 Yes
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 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 DAVID PUDER
Signature Title PRESIDENT
Signature Date 7/7/2021

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