FORM 1023-EZ for BLACK MENTAL HEALTH ALLIANCE OF MASSACHUSETTS INC

Field Data
EIN 45-2813687
Case Number EO-2016333-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK MENTAL HEALTH ALLIANCE OF MASSACHUSETTS INC
Organization’s Mailing Address 15 DRUMMOND STREET
City BOSTON
State MA
ZIP 02121-4003
Accounting period End 12
Primary contact name OMAR REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP JACKSON
PRESIDENT
38 WILLOUGHBY ROAD
MILTON MA 02186-1614

Officer/Director/Trustee Two

GARY CLAY
TREASURER
5591 BEAR CREEK DRIVE
DOUGLAS GA 30135-5891

Officer/Director/Trustee Three

MARIAN BYNOE
CLERK
932 NORTH MAIN STREET
BROCKTON MA 02301-1667

Officer/Director/Trustee Four

VENITA QUALLS
BOARD MEMBER
335 SNELL STREET
FALL RIVER MA 02721-3913

Officer/Director/Trustee Five

OMAR REID
DIRECTOR
15 DRUMMOND STREET
BOSTON MA 02119-4003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2011
Organization Incorporation State MA
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.