| Field | Data |
|---|---|
| EIN | 85-3646183 |
| Case Number | EO-2021025-000370 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MENTAL PHYSICAL SPIRITUAL HEALTH SERVICES |
| Organization’s Mailing Address | 2421 BARBER STREET |
| City | BATON ROUGE |
| State | LA |
| ZIP | 70808 |
| Accounting period End | 12 |
| Primary contact name | HOMER CHARLES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANN DOMINO
EXECUTIVE DIRECTOR
2421 BARBER STREET
BATON ROUGE LA 70808
JARDIN DOMINO
DIR. OF HEALTH SERVICES
2630 3RD STREET
NEW ORLEANS LA 70113
MONICA RAYE SMITH
DIR OF SOCIAL WORK
17624 BECKFIELD AVENUE
BATON ROUGE LA 70817
HOMER CHARLES
CONTROLLER
1223 ALABO STREET
NEW ORLEANS LA 70117
| Organization’s website | |
|---|---|
| Organization’s email | mpshsinc@gmail.com |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/1/2020 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and N.E.C. |
| 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 | 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) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ANN DOMINO |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 11/30/2020 |
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