FORM 1023-EZ for PITT COLLABORATIVE ON MENTAL HEALTHAND SUBSTANCE ABUSE
| Field | Data |
|---|---|
| EIN | 46-4789293 |
| Case Number | EO-2015220-000050 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PITT COLLABORATIVE ON MENTAL HEALTHAND SUBSTANCE ABUSE |
| Organization’s Mailing Address | 2529-A BROOKVILLE DR |
| City | GREENVILLE |
| State | NC |
| ZIP | 27834 |
| Accounting period End | 12 |
| Primary contact name | TIMOTHY LIVENGOOD PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
TIMOTHY LIVENGOOD
PRESIDENT
2529-A BROOKVILLE DR
GREENVILLE NC 27836
Officer/Director/Trustee Two
CHRIS SMITH
VICE PRESIDENT
1130 PORTERTOWN RD
GREENVILLE NC 27858
Officer/Director/Trustee Three
JULIA PETRASSO
SECRETARY
1717 W 5TH ST
GREENVILLE NC 27858
Officer/Director/Trustee Four
MATT LAMBETH
TREASURER
154 BEACON DR
WINTERVILLE NC 28590
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/2015 |
| Organization Incorporation State | NC |
| 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: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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