FORM 1023-EZ for INFINITY BEHAVIORAL AND DEVELOPMENTAL HEALTH SERVICES INC

Field Data
EIN 81-1030648
Case Number EO-2020317-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INFINITY BEHAVIORAL AND DEVELOPMENTAL HEALTH SERVICES INC
Organization’s Mailing Address 1036 HEARTH LN SW
City CONCORD
State NC
ZIP 28025
Accounting period End 12
Primary contact name PEARL LAVERNE GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEARL GRIFFIN
PRESIDENT
1036 HEARTH LN SW
CONCORD NC 28025

Officer/Director/Trustee Two

ALTON CONWELL
VICE PRESIDENT
2711 TRAIL RIDGE ROAD
HUNTSVILLE AL 35810

Officer/Director/Trustee Three

FABIANNE DAVENPORT
SECRETARY
4206 SHAWN DRIVE A
KILEEN TX 76542

Officer/Director/Trustee Four

JEAN HARVEY
TRUSTEE
586 MIRAWOOD TRAIL NE
CONCORD NC 28025

Officer/Director/Trustee Five

SAHEEM STEWART
TRUSTEE
C/O SHAREE BAILEY 9709 TRINITY PL
CHARLOTTE NC 28216

Organization’s website
Organization’s email IBDHS2016@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PEARL GRIFFIN
Signature Title PRESIDENT
Signature Date 11/9/2020

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