FORM 1023-EZ for P&O BEHAVIORAL HEALTH INITIATIVE INC
| Field | Data |
|---|---|
| EIN | 86-1196245 |
| Case Number | EO-2021084-001372 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | P&O BEHAVIORAL HEALTH INITIATIVE INC |
| Organization’s Mailing Address | 27 AUBURN ST 3B |
| City | HAVERHILL |
| State | MA |
| ZIP | 01830 |
| Accounting period End | 12 |
| Primary contact name | OCTAVIA NANKUNDA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STELLA KISEMBO
PRESIDENT
57 FRANKLIN ST
STONEHAM MA 02180
Officer/Director/Trustee Two
MARIAN KAITU
TREASURER
116 DEL MARINO PLACE SUIT B
SAN GABRIEL CA 91776
Officer/Director/Trustee Three
PERCY RWANDARUGALI
SECRETARY/CLERK
1865 WELSH RD APT L12
PHILADELPHIA PA 19115
Officer/Director/Trustee Four
OCTAVIA NANKUNDA
DIRECTOR
27 AUBURN ST 3B
HAVERHILL MA 01830
Officer/Director/Trustee Five
PRISCILLA RWANDARUGALI
DIRECTOR
284 B SUNDERLAND RD APT 20
WORCESTER MA 01604
| Organization’s website | |
|---|---|
| Organization’s email | OCTAVIANANKUNDA1@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/3/2020 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | STELLA KISEMBO |
| Signature Title | PRESIDENT |
| Signature Date | 2/8/2021 |
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