FORM 1023-EZ for NATIONAL ALLIANCE ON MENTAL ILLNESSGRAND TRAVERSE
| Field | Data |
|---|---|
| EIN | 82-2735440 |
| Case Number | EO-2017257-000207 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NATIONAL ALLIANCE ON MENTAL ILLNESSGRAND TRAVERSE |
| Organization’s Mailing Address | 2628 RA WA SI AVENUE |
| City | TRAVERSE CITY |
| State | MI |
| ZIP | 49685-8929 |
| Accounting period End | 12 |
| Primary contact name | BRANDON S DORNBUSCH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DORIS GOURLAY
PRESIDENT
2628 RA WA SI AVENUE
TRAVERSE CITY MI 49685-8929
Officer/Director/Trustee Two
JUDITH BARRETT
VICE PRESIDENT
2203 E TIMBERLANE DRIVE
TRAVERSE CITY MI 49686-2056
Officer/Director/Trustee Three
JOHN OGDEN
VICE PRESIDENT
2573 SOUTH CHERRY TREE LANE
SUTTONS BAY MI 49682-9536
Officer/Director/Trustee Four
HOLLY BARRETT
DIRECTOR
10925 DEAL ROAD
WILLIAMSBURG MI 49690-9791
Officer/Director/Trustee Five
SARA NESTOR
DIRECTOR
209 N MADISON STREET
TRAVERSE CITY MI 49684-2110
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/18/2016 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R30 - Intergroup, Race Relations |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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