FORM 1023-EZ for FAMILY EMPOWERMENT MENTAL HEALTH CENTER

Field Data
EIN 83-4595490
Case Number EO-2020111-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY EMPOWERMENT MENTAL HEALTH CENTER
Organization’s Mailing Address 5190 NW 167TH ST
City MIAMI LAKES
State FL
ZIP 33014
Accounting period End 5
Primary contact name PIERRE A MOREAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIERRE MOREAU
CHAIRMAN
16295 SW 19TH STREET
MIRAMAR FL 33027

Officer/Director/Trustee Two

MARIE MOREAU
VICE-CHAIRMAN
16295 SW 19TH ST
MIRAMAR FL 33027

Officer/Director/Trustee Three

EDLYNE JEAN
TREASURER
9331 NW 24TH PL
PEMBROKE PINES FL 33024

Organization’s website WWW.FAMILYEMPOWERMENTMHC.FAMILY
Organization’s email PIERREAMOREAU@FAMILYEMPOWERMENTMHC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2019
Organization Incorporation State FL
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: No
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 Yes
Donation of funds Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PIERRE MOREAU
Signature Title CHAIRMAN
Signature Date 4/16/2020

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