| Field | Data |
|---|---|
| EIN | 83-3833235 |
| Case Number | EO-2019087-000365 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KEY CLINIC |
| Organization’s Mailing Address | 200 W JACKSON ST |
| City | FRANKLIN |
| State | VA |
| ZIP | 23851 |
| Accounting period End | 12 |
| Primary contact name | KAREN HAZEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KAREN HAZEN
CEO
228 LYNWOOD RD
LITTLETON NC 27850
CHRISTINA WOOLRIDGE
BOARD SECRETARY
104 W SEVERN RD
NORFOLK VA 23505
SHANNON GREENE
BOARD MEMBER
1654 COUGAR AVE
NORFOLK VA 23518
JENNIFER COOKE
BOARD MEMBER
212 82ND ST UNIT B
VIRGINIA BEACH VA 23451
ANNA ELS
BOARD MEMBER
966 ARMFIELD CIR APT 204
NORFOLK VA 23505
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/5/19 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and N.E.C. |
| 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 | 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 | KAREN HAZEN |
| Signature Title | CEO |
| Signature Date | 3/26/19 |
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