FORM 1023-EZ for AMCAL BEHAVIORAL HEALTH SERVICES
| Field | Data |
|---|---|
| EIN | 81-2207691 |
| Case Number | EO-2016131-000115 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AMCAL BEHAVIORAL HEALTH SERVICES |
| Organization’s Mailing Address | PO BOX 1136 |
| City | SUTTER CREEK |
| State | CA |
| ZIP | 95685-4263 |
| Accounting period End | 6 |
| Primary contact name | GAIL SMYTH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
GAIL SMYTH
PRESIDENT/DIRECTOR
135 AMELIA ST
SUTTER CREEK CA 95685-4263
Officer/Director/Trustee Two
LINDA CRABTREE
SECRETARY/CHAIRPERSON
180 PATRICIA LANE
SUTTER CREEK CA 95685-4263
Officer/Director/Trustee Three
ANGELA GEDDIS
TREASURER/CHAIRPERSON
16762 SHAKERIDGE COURT
SUTTER CREEK CA 95685-4263
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/10/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention 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 | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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