FORM 1023-EZ for CAMHP FOUNDATION

Field Data
EIN 47-3230512
Case Number EO-2015175-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMHP FOUNDATION
Organization’s Mailing Address 3237 ORMOND RD
City CLEVELAND
State OH
ZIP 44118-3415
Accounting period End 12
Primary contact name DANIELLE J DRONET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIELLE DRONET
CHIEF OFFICER
3237 ORMOND RD
CLEVELAND OH 44118-3415

Officer/Director/Trustee Two

BENTLEY BLUE
OFFICER
3237 ORMOND RD
CLEVELAND OH 44118-3415

Officer/Director/Trustee Three

MARY ELLEN BRINOVEC
OFFICER
15706 ST CLAIR AVENUE
CLEVELAND OH 44110-3021

Officer/Director/Trustee Four

ADELE BLUE
OFFICER
1216 ST JOHN ST
LAFAYETTE LA 70506-3638

Officer/Director/Trustee Five

PATRICK SONNIER
OFFICER
305 SILVERBELL BLVD
LAFAYETTE LA 70508-4129

Organization’s website
Organization’s email DANIELLE@CAMHP.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 Yes
One Third Support Gifts No
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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