FORM 1023-EZ for INTERFAITH INTEGRATIVE BEHAVIORAL HEALTH

Field Data
EIN 47-4158155
Case Number EO-2015176-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERFAITH INTEGRATIVE BEHAVIORAL HEALTH
Organization’s Mailing Address 5297 COLLEGE AVENUE STE 106
City OAKLAND
State CA
ZIP 94618
Accounting period End 12
Primary contact name CHERYL WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL WILSON
CHAIR
5133 FLEMING AVENUE
OAKLAND CA 94619-3237

Officer/Director/Trustee Two

HAROLD DACUS III
PRESIDENT
4610 TILBURY TRL
RICHMOND TX 77407

Officer/Director/Trustee Three

MAE EDWARDS
SECRETARY
2921 EASTMAN AVENUE
OAKLAND CA 94619

Officer/Director/Trustee Four

MAE EDWARDS
TREASURER
2921 EASTMAN AVENUE
OAKLAND CA 94619

Officer/Director/Trustee Five

PRISCILLA BANKS
DIRECTOR COMMUNITY OUTREACH
26696 CHIPLAY AVENUE
HAYWARD CA 94545

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
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
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.