FORM 1023-EZ for CALIFORNIA ASSOCIATION FOR INFANT MENTAL HEALTH CALAIMH

Field Data
EIN 82-3156208
Case Number EO-2018179-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALIFORNIA ASSOCIATION FOR INFANT MENTAL HEALTH CALAIMH
Organization’s Mailing Address 5716 FOLSOM BLVD UNIT 279
City SACRAMENTO
State CA
ZIP 95819
Accounting period End 12
Primary contact name BARBARA STROUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA STROUD
DIRECTOR AND PRESIDENT
2965 GREER RD
PALO ALTO CA 94303

Officer/Director/Trustee Two

PATRICIA LAKATOS
TREASURER
1055 CATALPA RD
ARCADIA CA 91007

Officer/Director/Trustee Three

BETH HEAVILIN
SECRETARY
3841 D STREET
EUREKA CA 95503

Officer/Director/Trustee Four

KRISTIE BRANDT
DIRECTOR
2081 MONTCELLO ROAD
NAPA CA 94558

Officer/Director/Trustee Five

ZOHERH ZARNEGAR
DIRECTOR
18401 PELLISIER RD
TEHACHAPI CA 93561

Organization’s website WWW.CALAIMH.ORG
Organization’s email HELLO@CALAIMH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 BARBARA STROUD
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/26/18

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