FORM 1023-EZ for M-PACT MENTAL HEALTH PARTNERS AND ALLIES IN THE COUNTY OF TULARE

Field Data
EIN 83-2606049
Case Number EO-2019191-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name M-PACT MENTAL HEALTH PARTNERS AND ALLIES IN THE COUNTY OF TULARE
Organization’s Mailing Address 5631 W SEEGER CT
City VISALIA
State CA
ZIP 93277
Accounting period End 12
Primary contact name DONALD DOWDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANELLE EVANGELHO
CHAIRMAN
1331 S CEDAR CT
VISALIA CA 93292

Officer/Director/Trustee Two

DONALD DOWDY
VICE CHAIRMAN
5631 W SEEGER CT
VISALIA CA 93277

Officer/Director/Trustee Three

ARIANA LIZOTTE
SECRETARY
2625 N QUAIL DR
VISALIA CA 93277

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 DONALD DOWDY
Signature Title VICE CHAIRMAN
Signature Date 7/6/19

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