| Field | Data |
|---|---|
| EIN | 84-4403031 |
| Case Number | EO-2020311-000074 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CARROLL COUNTY MENTAL HEALTH ADVOCATES |
| Organization’s Mailing Address | 306 BRADLEY STREET |
| City | CARROLLTON |
| State | GA |
| ZIP | 30117 |
| Accounting period End | 12 |
| Primary contact name | JODI GOODMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JODIE GOODMAN
PROGRAM DIRECTOR
306 BRADLEY STREET
CARROLLTON GA 30117
BETTY CASON
BOARD MEMBER/CHAIRPERSON
728 STEWART STREET
CARROLLTON GA 30117
MEAGAN THOMPSON
BOARD MEMBER/VICE-CHAIR
WILLOWBROOKE AT TANNER 20 HERRELL R
VILLA RICA GA 30180
MICHELLE MORGAN
BOARD MEMBER/PUBLIC RELATIONS
166 WYNNBROOKE DRIVE
CARROLLTON GA 30116
VICKIE FULLBRIGHT
BOARD MEMBER/TREASURER
FAMILY CONNECTIONS 306 BRADLEY STRE
CARROLLTON GA 30117
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/2020 |
| Organization Incorporation State | GA |
| 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 | Yes |
| 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 | JODIE GOODMAN |
| Signature Title | PROGRAM DIRECTOR |
| Signature Date | 11/4/2020 |
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