FORM 1023-EZ for THE OPEN CENTER OF NORTHERN CALIFORNIA

Field Data
EIN 46-3601405
Case Number EO-2017144-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OPEN CENTER OF NORTHERN CALIFORNIA
Organization’s Mailing Address 1100 MELODY LANE SUITE 126
City ROSEVILLE
State CA
ZIP 95678
Accounting period End 12
Primary contact name MICHAEL HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDLORD POSADAS
EXECUTIVE DIRECTOR
1408 RESPONSE ROAD APT 148
SACRAMENTO CA 95815

Officer/Director/Trustee Two

ELENA MICHEL
DEVELOPMENT DIRECTOR
308 HICKORY STREET
ROSEVILLE CA 95678

Officer/Director/Trustee Three

MELISSA SANDOVAL
OPERATIONS DIRECTOR
5824 WOODLEIGH DRIVE
CARMICHAEL CA 95608

Officer/Director/Trustee Four

MICHAEL HENDERSON
CLINICAL DIRECTOR
1660 EL CAMINO VERDE DRIVE
LINCOLN CA 95648

Organization’s website WWW.OPENCENTERNORCAL.ORG
Organization’s email MICHAEL@MTHENDERSON.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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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