FORM 1023-EZ for NEMO CIT MENTAL HEALTH ADVISORY COUNCIL LLC

Field Data
EIN 82-4425360
Case Number EO-2018051-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEMO CIT MENTAL HEALTH ADVISORY COUNCIL LLC
Organization’s Mailing Address 1400 SOUTH BOUNDARY ST
City KIRKSVILLE
State MO
ZIP 63501
Accounting period End 12
Primary contact name FRANK VORHEES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH HOLZMEIER
PRESIDENT
1400 SOUTH BOUNDARY
KIRKSVILLE MO 63501

Officer/Director/Trustee Two

NANCY PENNINGTON
TREASURER
1400 SOUTH BOUNDARY
KIRKSVILLE MO 63501

Officer/Director/Trustee Three

JESSICA GUYTON
SECRETARY
1400 SOUTH BOUNDARY
KIRKSVILLE MO 63501

Officer/Director/Trustee Four

HEATHER ADKINS
DIRECTOR
1400 SOUTH BOUNDARY
KIRKSVILLE MO 63501

Officer/Director/Trustee Five

FRANK VORHEES
DIRECTOR
1400 SOUTH BOUNDARY
KIRKSVILLE MO 63501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FRANK VORHEES
Signature Title DIRECTOR
Signature Date 2/15/18

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