FORM 1023-EZ for OPEN DOOR BEHAVIORAL HEALTH & WELLNESS INC

Field Data
EIN 83-4292338
Case Number EO-2019098-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPEN DOOR BEHAVIORAL HEALTH & WELLNESS INC
Organization’s Mailing Address PO BOX 92
City TOPSHAM
State ME
ZIP 4086-92
Accounting period End 12
Primary contact name ALEXANDER APONTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNE OCHOA-DURRELL
CHAIR
24 WHEELER ST
LIVERMORE FALLS ME 4254

Officer/Director/Trustee Two

ALEXANDER APONTE
TREASURER
268 PARLIAMENT CIR
TOPSHAM ME 4086

Officer/Director/Trustee Three

TANYA SADLER
SECRETARY
54 FAIRLAWN AVE
LEWISTON ME 4240

Organization’s website
Organization’s email OPENDOORMEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/19
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 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 ALEXANDER APONTE
Signature Title TREASURER
Signature Date 4/4/19

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