FORM 1023-EZ for TEAMBUILDERS BEHAVIORAL HEALTH INC
| Field | Data |
|---|---|
| EIN | 84-2183933 |
| Case Number | EO-2020303-000247 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TEAMBUILDERS BEHAVIORAL HEALTH INC |
| Organization’s Mailing Address | PO BOX 28164 |
| City | SANTA FE |
| State | NM |
| ZIP | 87592-9621 |
| Accounting period End | 6 |
| Primary contact name | SUN VEGA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID LEY
DIRECTOR
1310 FORRESTER AVENUE NW
ALBUQUERQUE NM 87104-2250
Officer/Director/Trustee Two
LORRAINE FREEDLE
DIRECTOR
25 KAHOA STREET
HILO HI 96720-2205
Officer/Director/Trustee Three
OMAR VEGA
DIRECTOR
29 RITO GUICU
SANTA FE NM 87507-4321
Officer/Director/Trustee Four
SHANNON FREEDLE
MEMBER
25 KAHOA STREET
HILO HI 96720-2205
Officer/Director/Trustee Five
SUN VEGA
MEMBER
29 RITO GUICU
SANTA FE NM 87507-4321
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/13/2019 |
| Organization Incorporation State | NM |
| 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: 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SUN VEGA |
| Signature Title | MEMBER |
| Signature Date | 10/27/2020 |
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