FORM 1023-EZ for ELYSIAN MENTAL HEALTH FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4350945 |
| Case Number | EO-2020035-000283 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ELYSIAN MENTAL HEALTH FOUNDATION |
| Organization’s Mailing Address | 2110 OVERLAND AVE SUITE 120 |
| City | BILLINGS |
| State | MT |
| ZIP | 59102 |
| Accounting period End | 12 |
| Primary contact name | MICHELLE MCPHERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHELLE MCPHERSON
PRESIDENT
646 AVENUE D
BILLINGS MT 59102
Officer/Director/Trustee Two
JULIE CLARK
CHAIRMAN
3733 SPOTTED JACK ROAD
BILLINGS MT 59101
Officer/Director/Trustee Three
CAROL WULFEKUHLE
VICE PRESIDENT & TREASURER
3615 FULL MOON DRIVE
BILLINGS MT 59101
| Organization’s website | ELYSIANMENTALHEALTHFOUNDATION.ORG |
|---|---|
| Organization’s email | INFO@ELYSIANMENTALHEALTHFOUNDATION.ORG |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/5/2020 |
| Organization Incorporation State | MT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| Compensation of Officer director trustee | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | MICHELLE MCPHERSON |
| Signature Title | PRESIDENT |
| Signature Date | 2/2/2020 |
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