FORM 1023-EZ for ANTARA INSTITUTE INC
| Field | Data |
|---|---|
| EIN | 87-2152500 |
| Case Number | EO-2021259-000188 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ANTARA INSTITUTE INC |
| Organization’s Mailing Address | 9573 CA-9 |
| City | BEN LOMOND |
| State | CA |
| ZIP | 95005 |
| Accounting period End | 6 |
| Primary contact name | PATRICIA KATSKY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATRICIA KATSKY
DIRECTOR
11 OLD COACH RD
SCOTTS VALLEY CA 95066
Officer/Director/Trustee Two
REBECCA ROTH
PRES & BOARD MEMBER
222 GAULT ST 4
SANTA CRUZ CA 95062
Officer/Director/Trustee Three
JAN FREYA
SEC & BOARD MEMBER
292 SO PIPPIN LANE
SANTA CRUZ CA 95065
Officer/Director/Trustee Four
KRYSTLE HEMMINGS
TREAS & BOARD MEMBER
22529 NORTHVIEW DR
HAYWARD CA 94541
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/10/2021 |
| 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 | 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 | REBECCA ROTH |
| Signature Title | PRES & BOARD MEMBER |
| Signature Date | 9/14/2021 |
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