FORM 1023-EZ for PSYCHOSOCIAL REHABILITATION ASSOCIATION OF NEW MEXICO

Field Data
EIN 30-0921894
Case Number EO-2016088-000570
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PSYCHOSOCIAL REHABILITATION ASSOCIATION OF NEW MEXICO
Organization’s Mailing Address 1215 NEW YORK AVE
City ALAMOGORDO
State NM
ZIP 88310
Accounting period End 12
Primary contact name KIMBERLY JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY JORDAN
EXECUTIVE DIRECTOR
1215 NEW YORK AVE
ALAMOGORDO NM 88310

Officer/Director/Trustee Two

GAIL ROBERTSON
PRESIDENT
573 HORSHOE TRAIL SE
ALBUQUERQUE NM 88310

Officer/Director/Trustee Three

HEATHER CLARK
VICE PRESIDENT
3608 BUTT ST NE
ALBUQUERQUE NM 88310

Officer/Director/Trustee Four

ANDREW PARRISH
SECRETARY
513 DE SOTO AVE
EL PASO TX 79912

Officer/Director/Trustee Five

ROGER PIPKINS
TREASURER
608 BOSQUE VERDE LN NW
ALBUQUERQUE NM 87104

Organization’s website WWW.PSRANM.COM
Organization’s email KIMMIEJORDAN@PSRANM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2016
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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