FORM 1023-EZ for MENTAL HEALTH INTERVENTION GROUP INC
| Field | Data |
|---|---|
| EIN | 86-2690638 |
| Case Number | EO-2021109-000578 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MENTAL HEALTH INTERVENTION GROUP INC |
| Organization’s Mailing Address | 1607 CHERRYWOOD LANE |
| City | LONGWOOD |
| State | FL |
| ZIP | 32750 |
| Accounting period End | 12 |
| Primary contact name | ZACHARY HUDSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ZACHIARY HUDSON
PRESIDENT
893 WOODGATE TRAIL
LONGWOOD FL 32750
Officer/Director/Trustee Two
CHANNI HUDSON
VICE PRESIDENT
5040 WEST STATE ROAD 46 APT 1126
SANFORD FL 32771
Officer/Director/Trustee Three
KIMBERLY COLGROVE
SECRETARY
140 WILSON BAY ROAD
SANFORD FL 32771
Officer/Director/Trustee Four
ROSLYN THOMAS
TREASURER
4300 W LAKE MARY BLVD STE 1010 313
LAKE MARY FL 32746
Officer/Director/Trustee Five
AMBER PRATT
DIRECTOR
23450 YELLOWSTONE LANE
EUSTIS FL 32736
| Organization’s website | MENTALHEALTHINTERVENTIONGROUP.ORG |
|---|---|
| Organization’s email | CYNDY@PATIENTRESOURCENETWORKS.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/18/2021 |
| Organization Incorporation State | FL |
| 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: Yes Scientific: No Literary: No Public Safety: Yes Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| 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 | ZACHIARY HUDSON |
| Signature Title | PRESIDENT |
| Signature Date | 4/16/2021 |
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