FORM 1023-EZ for CT BIPOC MENTAL HEALTH & WELLNESS ALLIANCE

Field Data
EIN 87-2008889
Case Number EO-2021218-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CT BIPOC MENTAL HEALTH & WELLNESS ALLIANCE
Organization’s Mailing Address 300 STATE STEET SUITE 309
City NEW LONDON
State CT
ZIP 06320
Accounting period End 12
Primary contact name JANELLE POSEY-GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANELLE POSEY-GREEN
PRESIDENT
25 WOODS DRIVE
NORWICH CT 06360

Officer/Director/Trustee Two

SHENIRA BILLUPS
TREASURER
712 WOODIN STREET
HAMDEN CT 06514

Officer/Director/Trustee Three

LOVETTE JOHNSON
SECRETARY
18 MARTIN CIRCLE
EAST HARTFORD CT 06118

Organization’s website
Organization’s email CTBLKMENTALHEALTH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2020
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: No
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 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 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 JANELLE POSEY-GREEN
Signature Title PRESIDENT
Signature Date 8/4/2021

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