FORM 1023-EZ for LSH MENTAL HEALTH SERVICES INC

Field Data
EIN 84-2533651
Case Number EO-2019256-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LSH MENTAL HEALTH SERVICES INC
Organization’s Mailing Address 7010 VINE STREET
City CINCINNATI
State OH
ZIP 45216
Accounting period End 12
Primary contact name ALANDO LONGMIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALANDO LONGMIRE
PRESIDENT
1504 CEDAR AVENUE
CINCINNATI OH 45224

Officer/Director/Trustee Two

NELLIE POWELL
BOARD MEMBER
15780 WILLOWCOVE DRIVE
CINCINNATI OH 45239

Officer/Director/Trustee Three

CLEOYVONTO RIDLEY
BOARD MEMBER
2844 WINDON DRIVE
CINCINNATI OH 45251

Officer/Director/Trustee Four

ALISHA LONGMIRE
BOARD MEMBER
6714 PLAINFIELD ROAD
CINCINNATO OH 45236

Officer/Director/Trustee Five

WILL ROBERSON
BOARD MEMBER
4435 E OBSERVATORY
WEST CHESTER OH 45069

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F02 - Management & Technical Assistance
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 ALANDO LONGMIRE
Signature Title PRESIDENT
Signature Date 9/9/19

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