FORM 1023-EZ for WILLIAMSONS MENTAL HEALTH FOUNDATION CORPORATION

Field Data
EIN 83-4621372
Case Number EO-2019130-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAMSONS MENTAL HEALTH FOUNDATION CORPORATION
Organization’s Mailing Address 3040 MITCHELLVILLE ROAD
City BOWIE
State MD
ZIP 20716
Accounting period End 12
Primary contact name MARCIA WILLIAMSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANKLYN WILLIAMSON
PRESIDENT
16200 AZURE PLACE
BOWIE MD 20716

Officer/Director/Trustee Two

MARCIA WILLIAMSON
VICE PRESIDENT, TREASURE, SECRETARY
16200 AZURE PLACE
BOWIE MD 20716

Officer/Director/Trustee Three

ROSE DENNIS
BOARD MEMBER
4619 TEMA ROAD
PIKESVILLE MD 21208

Officer/Director/Trustee Four

KEGAN WILLIAMSON
BOARD MEMBER
11351 LAUREL WALK DRIVE
LAUREL MD 20708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I99 - Crime, Legal Related N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCIA WILLIAMSON
Signature Title VICE PRESIDENT, TREASURE, SECRETARY
Signature Date 5/8/19

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