FORM 1023-EZ for BAY AREA ASYLUM MENTAL HEALTH PROJECT
| Field | Data |
|---|---|
| EIN | 87-1601154 |
| Case Number | EO-2021260-000265 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BAY AREA ASYLUM MENTAL HEALTH PROJECT |
| Organization’s Mailing Address | 4281 PIEDMONT AVENUE |
| City | OAKLAND |
| State | CA |
| ZIP | 94611 |
| Accounting period End | 6 |
| Primary contact name | WANDA REMMERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ARIEL SHIDLO
PRESIDENT
4104 24TH ST NUMBER 696
SAN FRANCISCO CA 94114
Officer/Director/Trustee Two
JILL RODGERS-QUAYE
TREASURER
4281 PIEDMONT AVE
OAKLAND CA 94611
Officer/Director/Trustee Three
RYAN COLE
SECRETARY
2991 SHATTUCK AVE NUMBER 303
OAKLAND CA 94705
Officer/Director/Trustee Four
HILDY AUGUSTIN
DIRECTOR
PO BOX 718
MENLO PARK CA 94026
Officer/Director/Trustee Five
KAYTA CORNEJO
DIRECTOR
1833 FILLMORE SUITE 102
SAN FRANCISCO CA 94115
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | No |
| Organization Incorporation Date | 5/24/2021 |
| Organization Incorporation State | CA |
| Contains Limitation | No |
| Does not expressly empower | No |
| Contains dissolution | No |
| National Taxonomy of Exempt Entities (NTEE) code | F80 - Mental Health Association, Multipurpose |
| 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 | Yes |
| 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 | 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 | No |
| Signature Name | ARIEL SHIDLO |
| Signature Title | PRESIDENT |
| Signature Date | 9/15/2021 |
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