FORM 1023-EZ for CHURCH THERAPY ASSOCIATES INC
| Field | Data |
|---|---|
| EIN | 83-2390383 |
| Case Number | EO-2019077-000430 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHURCH THERAPY ASSOCIATES INC |
| Organization’s Mailing Address | 65 MUNROE STREET |
| City | LYNN |
| State | MA |
| ZIP | 1901 |
| Accounting period End | 12 |
| Primary contact name | KRISTEN KANSIEWICZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KRISTEN KANSIEWICZ
PRESIDENT
8 BROWNS AVE
LYNN MA 1905
Officer/Director/Trustee Two
PAUL DOMIGAN
TREASURER
30 N MADISON AVE APT 326
PASEDENA CA 91101
Officer/Director/Trustee Three
SHIRI MESSINA
SECRETARY
74 BANCROFT AVE
WAKEFIELD MA 1880
Officer/Director/Trustee Four
EMILY URBINA
VICE PRESIDENT
159 WASHINGTON ST
LYNN MA 1902
Officer/Director/Trustee Five
JAMIE BOOTH
VICE PRESIDENT
72 MARGIN ST
PEABODY MA 1960
| Organization’s website | CHURCHTHERAPY.COM |
|---|---|
| Organization’s email | CHURCHTHERAPIST@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/6/18 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: No Religious: Yes 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 | 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 | 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 | KRISTEN KANSIEWICZ |
| Signature Title | PRESIDENT |
| Signature Date | 3/14/19 |
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