FORM 1023-EZ for CARING COMMUNITIES MENTAL HEALTH SERVICES

Field Data
EIN 81-4817719
Case Number EO-2017017-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARING COMMUNITIES MENTAL HEALTH SERVICES
Organization’s Mailing Address 1075 BROAD RIPPLE AVE STE 279
City INDIANAPOLIS
State IN
ZIP 46220
Accounting period End 12
Primary contact name BERTEE THOMAS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERTEE THOMAS THOMAS JR
PARTNER
1075 BROAD RIPPLE AVE STE 279
INDIANAPOLIS IN 46220

Officer/Director/Trustee Two

YVES-MARIE AMBROISE
PARTNER
4810 KESSLER BLVD NORTH DRIVE
INDIANAPOLIS IN 46228

Officer/Director/Trustee Three

KORY CAREY
PARTNER
8328 SPRING WIND DR
INDIANAPOLIS IN 46239

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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