FORM 1023-EZ for PTSD CLINICS

Field Data
EIN 46-4686209
Case Number EO-2018150-000590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PTSD CLINICS
Organization’s Mailing Address 6464 MARINA DR
City LONG BEACH
State CA
ZIP 90803
Accounting period End 12
Primary contact name CARL KIRNBAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL KIRNBAUER
GENERAL COUNSEL
6464 MARINA DR
LONG BEACH CA 90803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/12
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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 Yes
Correctness Declaration Yes
Signature Name CARL KIRNBAUER
Signature Title GENERAL COUNSEL
Signature Date 5/28/18
EIN 46-4686209
Case Number EO-2015049-000019
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PTSD CLINICS
Organization’s Mailing Address 16641 EDGEWATER LANE
City HUNTINGTON BEACH
State CA
ZIP 92649-3001
Accounting period End 12
Primary contact name CARL KIRNBAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE DEMOS
PRESIDENT
16641 EDGEWATER LANE
HUNTINGTON BEACH CA 92649-3001

Officer/Director/Trustee Two

EARL BEECHER
SECRETARY
16222 MONTEREY LANE
HUNTINGTON BEACH CA 92649-3001

Officer/Director/Trustee Three

ANTHONY MERSON
TREASURER
15952 PLUMWOOD STREET
WESTMINSTER CA 92683

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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