FORM 1023-EZ for UNISA MENTAL HEALTH RESOURCES INC

Field Data
EIN 46-3515990
Case Number EO-2018192-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNISA MENTAL HEALTH RESOURCES INC
Organization’s Mailing Address 845 FOREST HOLLOW DRIVE
City HURST
State TX
ZIP 76053
Accounting period End 12
Primary contact name DORIS BANGURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIS BANGURA
CHAIRMAN, PRESIDENT AND CEO
845 FOREST HOLLOW DR
HURST TX 76053

Officer/Director/Trustee Two

WILFRED KPANDEYENGE
SECRETARY
4005 BLESSINGTON DRIVE
FRISCO TX 75036

Officer/Director/Trustee Three

MARIAN JAMES
VICE PRESIDENT
4516 JAYLIN STREET
KELLER TX 76244

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/13
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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 DORIS BANGURA
Signature Title CHAIRMAN, PRESIDENT AND CEO
Signature Date 7/9/18

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