FORM 1023-EZ for MINORITY BEHAVIORAL HEALTH ALLIANCE
| Field | Data |
|---|---|
| EIN | 37-1968048 |
| Case Number | EO-2021245-000469 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MINORITY BEHAVIORAL HEALTH ALLIANCE |
| Organization’s Mailing Address | 19506 HIGHWAY 59 N STE 360 |
| City | HUMBLE |
| State | TX |
| ZIP | 77338-4406 |
| Accounting period End | 12 |
| Primary contact name | TAMIKA BURNS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
COTTRELL JACOBS
PRESIDENT
3777 SIENNA PKWY
MISSOURI CITY TX 77459
Officer/Director/Trustee Two
OMAR SESAY
VICE PRESIDENT
2700 LAKE OLYMPIA PKWY STE 204
MISSOURI CITY TX 77459
Officer/Director/Trustee Three
TAMIKA BURNS
TREASURER
19506 HWY 59N STE 260
HUMBLE TX 77338
Officer/Director/Trustee Four
HELEN D CARRR
SECRETARY
8802 WILDSPRUCE COURT
HOUSTON TX 77088
Officer/Director/Trustee Five
PATRICE WILLIAMS
ASSIST TREASURER
1347 OWL TREE COURT
FRESNO TX 77545
| Organization’s website | |
|---|---|
| Organization’s email | MBHALLIANCE@GOOGLEGROUPS.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/20/2020 |
| Organization Incorporation State | TX |
| 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: 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 | 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 | TAMIKA BURNS |
| Signature Title | TREASURER |
| Signature Date | 8/31/2021 |
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