FORM 1023-EZ for MYHEALTHMYHOUSTON

Field Data
EIN 83-3716059
Case Number EO-2019112-000622
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYHEALTHMYHOUSTON
Organization’s Mailing Address 22107 ROCKCHESTER DRIVE
City KATY
State TX
ZIP 77450
Accounting period End 12
Primary contact name NKECHI ONYEWUENYI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTY JACK
PRESIDENT
4411 SUNRISE DRIVE
MISSOURI CITY TX 77459

Officer/Director/Trustee Two

ZOE DOUGLAS
VICE PRESIDENT
6455 DEZAVALA RD
SAN ANTONIO TX 78249

Officer/Director/Trustee Three

NKECHI ONYEWUENYI
SECRETARY
22107 ROCKCHESTER DR
KATY TX 77450

Officer/Director/Trustee Four

SAKITA DOUGLAS
DIRECTOR
6455 DEZEVALA RD
SAN ANTONIO TX 78249

Officer/Director/Trustee Five

KAMILAH HARRIS
DIRECTOR
5909 W LOOP SOUTH
HOUSTON TX 77401

Organization’s website NA
Organization’s email HOUSTONMENTALHEALTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 NKECHI ONYEWUENYI
Signature Title SECRETARY
Signature Date 4/19/19

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