FORM 1023-EZ for DEPRESSION AND BIPOLAR SUPPORT ALLIANCE

Field Data
EIN 90-0247685
Case Number EO-2019343-000503
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEPRESSION AND BIPOLAR SUPPORT ALLIANCE
Organization’s Mailing Address 55 E JACKSON BLVD SUITE 490
City CHICAGO
State IL
ZIP 60604
Accounting period End 12
Primary contact name JEFFREY CAIOLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY CAIOLA
PRESIDENT
5408 TELEGRAPH AVE
OAKLAND CA 94609-1922

Officer/Director/Trustee Two

RON ZENO
SECRETARY
2412 ABERDEEN WAY
RICHMOND CA 94806-2587

Officer/Director/Trustee Three

PETER LEE
TREASURER
6124 N ROCKRIDGE BLVD
OAKLAND CA 94618-1813

Officer/Director/Trustee Four

DAVID FENTON
DIRECTOR
1187 SANTA FE AVE
ALBANY CA 94706-2343

Officer/Director/Trustee Five

JANNA WERTZ
DIRECTOR
690 MARIPOSA AVE APT 304
OAKLAND CA 94610-1311

Organization’s website
Organization’s email BERKBIPOLAR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2005
Organization Incorporation State IL
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: 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 Yes
Correctness Declaration Yes
Signature Name JEFFREY CAIOLA
Signature Title PRESIDENT
Signature Date 12/6/2019

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