FORM 1023-EZ for DMHC NON-PROFIT CORPORATION

Field Data
EIN 82-2097701
Case Number EO-2017212-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DMHC NON-PROFIT CORPORATION
Organization’s Mailing Address 2511 OLD CORNWALLIS ROAD SUITE 200
City DURHAM
State NC
ZIP 27713
Accounting period End 12
Primary contact name ALAN KRONHAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN KRONHAUS
PRESIDENT
32405 ARCHDALE
CHAPEL HILL NC 27517

Officer/Director/Trustee Two

SHOHREH TAAVONI
CEO
32405 ARCHDALE
CHAPEL HILL NC 27517

Officer/Director/Trustee Three

ANGELA SIMPSON
SECRETARY
302 NITA LANE
DURHAM NC 27712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 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
Signature Title
Signature Date

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