FORM 1023-EZ for MENTAL SKILLNESS PROJECT

Field Data
EIN 86-1338615
Case Number EO-2021089-001136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL SKILLNESS PROJECT
Organization’s Mailing Address 5810 SHELBY OAKS DR STE B
City MEMPHIS
State TN
ZIP 38134-7315
Accounting period End 12
Primary contact name JESSICA FULWIDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA FULWIDER
PRESIDENT
2108 HAYES ST APT 114
NASHVILLE TN 37203

Officer/Director/Trustee Two

AUSTIN MITTELSTADT
VICE PRESIDENT
6421 PREMIER DR
NASHVILLE TN 37209

Officer/Director/Trustee Three

CATHERINE FULWIDER
TREASURER
9991 REVOLUTIONARY PLACE
MECHANICSVILLE VA 37209

Officer/Director/Trustee Four

DEBRA CHRISTOPHER
SECRETARY
135 RIVERCREST LN
VINCENT AL 35178

Officer/Director/Trustee Five

AUBRIE LOMBARDO
DIRECTOR OF PUBLIC RELATIONS
5116 GATE PKWY APT 2310
JACKSONVILLE FL 32255

Organization’s website MENTALSKILLNESS.ORG
Organization’s email HELP@MENTALSKILLNESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 Yes
Donation of funds Yes
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 JESSICA FULWIDER
Signature Title PRESIDENT
Signature Date 2/13/2021

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