| Field | Data |
|---|---|
| EIN | 85-1244258 |
| Case Number | EO-2020156-000137 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GEORGIA MOUNTAIN PSYCHOLOGICAL ASSOCIATES INC |
| Organization’s Mailing Address | 696 CELESTIAL CIRCLE |
| City | CLAYTON |
| State | GA |
| ZIP | 30525 |
| Accounting period End | 7 |
| Primary contact name | AMANDA HOWARD PILESKI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
AMANDA PILESKI
EXECUTIVE DIRECTOR
696 CELESTIAL CIRCLE
CLAYTON GA 30525
JESSICA WARD
BOARD MEMBER
346 MCCRACKIN RD
LAKEMONT GA 30552
SHAYNA CHEEK
BOARD MEMBER
124 MAPLE RIDGE TRAIL
CLAYTON GA 30525
JESSICA ROBINSON
BOARD MEMBER
PO BOX 292
MOUNTAIN CITY GA 30562
| Organization’s website | GAMTNPSYCH.ORG |
|---|---|
| Organization’s email | ADMIN@GAMTNPSYCH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/21/2020 |
| Organization Incorporation State | GA |
| 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: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | AMANDA PILESKI |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 6/2/2020 |
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