FORM 1023-EZ for NATIONAL MENTAL HEALTH CAREGIVERS ASSOCIATION INC

Field Data
EIN 82-1925118
Case Number EO-2018051-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL MENTAL HEALTH CAREGIVERS ASSOCIATION INC
Organization’s Mailing Address 301 LEWISTON AVE SPACE NO 4
City PNIEHURST
State ID
ZIP 83850
Accounting period End 12
Primary contact name RAYMOND CARSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND CARSTON
PRESIDENT
301 LEWISTON AVE SPACE NO 4
PINDEHURST ID 83850

Officer/Director/Trustee Two

PAUL EIDOM
VICE PRESIDENT
34130 EUREKA AVE
YUCAIPA CA 92399

Officer/Director/Trustee Three

ASHLEY EIDAM
SECRETARY
34130 EUREKA AVE
YUCAIPA CA 92399

Organization’s website WWW.BALANCEDMINDUS.ORG
Organization’s email BALANCEDMINDUS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/17
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 RAYMOND CARSTON
Signature Title PRESIDENT
Signature Date 2/15/18

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