FORM 1023-EZ for MORMON MENTAL HEALTH ASSOCIATON
| Field | Data |
|---|---|
| EIN | 47-4540964 |
| Case Number | EO-2015212-000112 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MORMON MENTAL HEALTH ASSOCIATON |
| Organization’s Mailing Address | 2327 N BURNING TREE ST |
| City | WICHITA |
| State | KS |
| ZIP | 67228 |
| Accounting period End | 12 |
| Primary contact name | GREGORY B ALLEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
NATASHA HELFER PARKER
PRESIDENT
2327 N BURNING TREE ST
WICHITA KS 67228
Officer/Director/Trustee Two
KRISTIN HODSON
PRESIDENT-ELECT
6770 S 990 E STE 105
MIDVALE UT 84047
Officer/Director/Trustee Three
DR MARTY ERICKSON
TREASURER
363 E 1200 S STE 201
OREM UT 84058
Officer/Director/Trustee Four
JENNIFER WHITE
SECRETARY
858 E 1810 N
OREM UT 84097
Officer/Director/Trustee Five
DR JENNIFER FINLAYSON-FIFE PHD
BOARD MEMBER
530 SUNSET ROAD
WINNETKA IL 60093
| Organization’s website | MORMONMETALHEALTHASSOCIATION.ORG |
|---|---|
| Organization’s email | MMHA@MORMONMENTALHEALTHASSOCIATION.ORG |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/15/2015 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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