FORM 1023-EZ for PRIMAL INSTITUTE FAMILY SUPPORT SERVICES

Field Data
EIN 45-2639866
Case Number EO-2019207-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRIMAL INSTITUTE FAMILY SUPPORT SERVICES
Organization’s Mailing Address 10530 SANTA MONICA BLVD
City LOS ANGELES
State CA
ZIP 90025
Accounting period End 12
Primary contact name BARRY BERNFELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY BERNFELD
PRESIDENT
10530 SANTA MONICA BLVD
LOS ANGELES CA 90025

Officer/Director/Trustee Two

GRETCHEN BERNFELD
SECRETARY
10530
LOS ANGELES CA 90025

Officer/Director/Trustee Three

BARRY BERNFELD
TREASURER
10530
LOS ANGELES CA 90025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/11
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 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 BARRY BERNFELD
Signature Title TREASURER
Signature Date 7/24/19

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