FORM 1023-EZ for BRIGHT FUTURE BEHAVIORAL HEALTH INC

Field Data
EIN 84-3402877
Case Number EO-2019294-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIGHT FUTURE BEHAVIORAL HEALTH INC
Organization’s Mailing Address 11293 TURKEY ROOST RD
City TALLAHASSEE
State FL
ZIP 32317
Accounting period End 12
Primary contact name ANGELA LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA LEE
PRESIDENT
11293 TURKEY ROOST RD
TALLAHASSEE FL 32317

Officer/Director/Trustee Two

KRISTIN GLASS
TRESURER
232 N JAMES AVE
PANAMA CITY FL 32401

Officer/Director/Trustee Three

RANDY SCHIMEK
VP
11293 TURKEY ROOST RD
TALLAHASSEE FL 32317

Officer/Director/Trustee Four

BRITTANY HOLLIS
SECRETARY
11293 TURKEY ROOST RD
TALLAHASSEE FL 32317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 ANGELA LEE
Signature Title PRESIDENT
Signature Date 10/17/19

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