FORM 1023-EZ for VETERANS MIND HEALTH FOUNDATION

Field Data
EIN 87-0947929
Case Number EO-2021153-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS MIND HEALTH FOUNDATION
Organization’s Mailing Address 7805 SW 43RD PL
City GAINESVILLE
State FL
ZIP 32608
Accounting period End 12
Primary contact name ZOHAR LEVITES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZOHAR LEVITES
CEO
7805 SW 43 PL
GAINESVILLE FL 32608

Officer/Director/Trustee Two

KELLE LOGAN
DIRECTOR
136 BIG BUCK DRIVE
TALLAHASSEE FL 32312

Officer/Director/Trustee Three

LAUREE SIMMONS
DIRECTOR
12921 MARSH LANDING
PALM BEACH GARDENS FL 33418

Officer/Director/Trustee Four

JESSICA NICODEMO
DIRECTOR
3515 280TH ST
BRANDFORD FL 32008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 ZOHAR LEVITES
Signature Title CEO
Signature Date 5/31/2021

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