| Field | Data |
|---|---|
| EIN | 46-1212607 |
| Case Number | EO-2020063-000223 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHORELINE WELLNESS BEHAVIORAL HEALTH OUTREACH INC |
| Organization’s Mailing Address | 415 MAIN STREET |
| City | WEST HAVEN |
| State | CT |
| ZIP | 06516-4296 |
| Accounting period End | 12 |
| Primary contact name | CARA POWERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
CARA POWERS
PRESIDENT / SECRETARY
415 MAIN STREET
WEST HAVEN CT 06516-4296
ROBERT POWERS
TREASURER
415 MAIN STREET
WEST HAVEN CT 06516-4296
JESSICA MIKITA
VICE PRESIDENT
415 MAIN STREET
WEST HAVEN CT 06516-4296
NATE HAKANUGLU
BOARD MEMBER
380 ELM STREET
WEST HAVEN CT 06516
NICOLE WETMORE
BOARD MEMBER
415 MAIN STREET
WEST HAVEN CT 06516-4296
| Organization’s website | WWW.SHORELINEWELLNESSCENTER.COM |
|---|---|
| Organization’s email | CPOWERS@SBHW.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/2013 |
| Organization Incorporation State | CT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CARA POWERS |
| Signature Title | PRESIDENT / SECRETARY |
| Signature Date | 3/1/2020 |
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