FORM 1023-EZ for UNITARIAN UNIVERSALIST MENTAL HEALTH NETWORK

Field Data
EIN 61-1948741
Case Number EO-2020049-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITARIAN UNIVERSALIST MENTAL HEALTH NETWORK
Organization’s Mailing Address 39 SOMMER AVENUE
City GLEN RIDGE
State NJ
ZIP 07028-9998
Accounting period End 6
Primary contact name CAROL MCGOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA MEYERS
PRESIDENT
38132 KIMBRO STREET
FREMONT CA 94536-5925

Officer/Director/Trustee Two

CAROL MCGOUGH
TREASURER
39 SOMMER AVENUE
GLEN RIDGE NJ 07028-9998

Officer/Director/Trustee Three

KARL PAANANEN
VICE-PRESIDENT
1111 KIMBERLY - NUMBER 3
LANSING MI 48912-4825

Officer/Director/Trustee Four

JANET HOLDEN
SECRETARY
430 WISCONSIN AVENUE - APT 2S
OAK PARK IL 60302-3687

Officer/Director/Trustee Five

SANDRA LEE GOODWICK
TRUSTEE
142 HEATHER CIRCLE
PORT ANGELES WA 98362-8108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2019
Organization Incorporation State MI
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROL MCGOUGH
Signature Title TREASURER
Signature Date 2/13/2020

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