FORM 1023-EZ for FERROL MEDICAL AND MENTAL SERVICES

Field Data
EIN 45-2651419
Case Number EO-2020269-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FERROL MEDICAL AND MENTAL SERVICES
Organization’s Mailing Address 917 CRESTED HAWK TRAIL
City SUGAR HILL
State GA
ZIP 30518
Accounting period End 9
Primary contact name KAYLARGE ELOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLARGE ELOI
PRESIDENT
917 CRESTED HAWK TRAIL
SUGAR HILL GA 30518

Officer/Director/Trustee Two

AKEISHA PENN
CEO
917 CRESTED HAWK TRAIL
SUGAR HILL GA 30518

Officer/Director/Trustee Three

KAYLARGE ELOI
CFO
917 CRESTED HAWK TRAIL
SUGAR HILL GA 30518

Officer/Director/Trustee Four

AKEISHA PENN
SECRETARY
917 CRESTED HAWK TRAIL
SUGAR HILL GA 30518

Officer/Director/Trustee Five

KAYLARGE ELOI
PRESIDENT
917 CRESTED HAWK TRAIL
SUGAR HILL GA 30518

Organization’s website
Organization’s email KAY.FERROLMENTAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2011
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KAYLARGE ELOI
Signature Title PRESIDENT
Signature Date 9/23/2020
EIN 45-2651419
Case Number EO-2015086-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FERROL MENTAL AND MEDICAL SERVICES
Organization’s Mailing Address 5110 ELMHURST RD B
City WEST PALM BEACH
State FL
ZIP 33417
Accounting period End 5
Primary contact name KAYLARGE ELOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAYLARGE ELOI
PRESIDENT
5510 ELMHURST RD B
WEST PALM BEACH FL 33417

Officer/Director/Trustee Two

MELONY DENNIS
LEGAL COUNSEL
5510 ELMHURST RD B
WEST PALM BEACH FL 33417

Officer/Director/Trustee Three

FERNELLA SMITH
TREASURER
5110 ELMHURST RD B
WEST PALM BEACH FL 33417

Organization’s website WWW.FERROLMENTAL.ORG
Organization’s email INFO@FERROLMENTAL.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - 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 Yes
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
Signature Title
Signature Date

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