FORM 1023-EZ for MENTAL HEALTH CARE IMPROVEMENT INITIATIVE PLUS CORP

Field Data
EIN 83-2555300
Case Number EO-2018332-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL HEALTH CARE IMPROVEMENT INITIATIVE PLUS CORP
Organization’s Mailing Address 447 BROADWAY 2ND FL 404
City NEW YORK
State NY
ZIP 10013
Accounting period End 12
Primary contact name BRIEN BLATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIEN BLATT
EXECUTIVE DIRECTOR
300 TOBEY RD
APALACHIN NY 13732-4442

Officer/Director/Trustee Two

LISA MULLINS
VICE PRESIDENT
530 PINE SWAMP RD
ELVERSON PA 19520

Officer/Director/Trustee Three

JENNA LOPEZ
SECRETARY AND TREASURER
2052 JEAN ST
HOUSTON TX

Organization’s website HTTPS://MHCIIP.ORG
Organization’s email HELLO@MHCIIP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BRIEN BLATT
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/26/18

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