FORM 1023-EZ for BAY AREA CENTER FOR PSYCHOTHERAPY

Field Data
EIN 47-2399203
Case Number EO-2014345-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAY AREA CENTER FOR PSYCHOTHERAPY
Organization’s Mailing Address 2901 SHATTUCK AVENUE
City BERKELEY
State CA
ZIP 94705-1808
Accounting period End 12
Primary contact name THOMAS MICHAHELLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS MICHAHELLES
DIRECTOR AND PRESIDENT/CEO
324 PANORAMIC WAY
BERKELEY CA 94704-1834

Officer/Director/Trustee Two

HORACIO MILLER
DIRECTOR AND TREASURER/CFO
721 CARMEL AVENUE
ALBANY CA 94706-1807

Officer/Director/Trustee Three

JANE STEINBERG-MICHAHELLES
SECRETARY
324 PANORAMIC WAY
BERKELEY CA 94704-1834

Officer/Director/Trustee Four

SANDRA BACKOVICH
DIRECTOR
2234 MCGEE AVENUE
BERKELEY CA 94703-1632

Officer/Director/Trustee Five

FREDERICK BROWNE
DIRECTOR
1340 JUANITA DRIVE
WALNUT CREEK CA 94595-1027

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2014
Organization Incorporation State CA
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: 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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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