FORM 1023-EZ for THE SOCIETY OF THE INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY LTD

Field Data
EIN 61-1741284
Case Number EO-2018128-000889
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SOCIETY OF THE INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY LTD
Organization’s Mailing Address 1841 BROADWAY 4TH FLOOR
City NEW YORK
State NY
ZIP 10023
Accounting period End 8
Primary contact name KENNETH MANCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERTA MATHEWS
SECRETARY/TREASURER
1449 LEXINGTON AVENUE STE 4A
NEW YORK NY 10128

Officer/Director/Trustee Two

BETSY LEVINE
PRESIDENT
303 FIFTH AVENUE STE 606
NEW YORK NY 10016

Officer/Director/Trustee Three

ERIN OMARA
VICE -PRESIDENT
161 WEST 54 STREET STE 203
NEW YORK NY 10019

Officer/Director/Trustee Four

RACHEL DECICCO
MEMBER AT LARGE
82 N FULLERTON AVENUE
MONTCLAIR NJ 7042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/14
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERTA MATHEWS
Signature Title SECRETARY/TREASURER
Signature Date 5/3/18
EIN 61-1741284
Case Number EO-2015281-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SOCIETY OF THE INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY LTD
Organization’s Mailing Address 1841 BROADWAY - 4TH FLOOR
City NEW YORK
State NY
ZIP 10023
Accounting period End 8
Primary contact name ROBERTA MATHEWS LCSW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERTA MATHEWS
PRESIDENT/SECRETARY
1449 LEXINGTON AVE - SUITE 4A
NEW YORK NY 10128

Officer/Director/Trustee Two

BETSY LEVINE
VICE-PRESIDENT
303 FIFTH AVE - SUITE 606
NEW YORK NY 10016

Officer/Director/Trustee Three

ERIN OMARA
MEMBER-AT-LARGE
161 WEST 54TH ST - SUITE 203/204
NEW YORK NY 10019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
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 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 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
Signature Title
Signature Date

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