FORM 1023-EZ for MICHIGAN PSYCHOANALYTIC COUNCIL FOUNDATION

Field Data
EIN 47-1857145
Case Number EO-2014325-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIGAN PSYCHOANALYTIC COUNCIL FOUNDATION
Organization’s Mailing Address 1207 PACKARD ST
City ANN ARBOR
State MI
ZIP 48104
Accounting period End 12
Primary contact name THOMAS E DEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REENA LIBERMAN
PRESIDENT
1207 PACKARD ST
ANN ARBOR MI 48104

Officer/Director/Trustee Two

SONYA FRIEBAND
SECRETARY
400 NORTH FIRST ST
ANN ARBOR MI 48103

Officer/Director/Trustee Three

DAVID KLEIN
TREASURER
1207 PACKARD ST
ANN ARBOR MI 48104

Officer/Director/Trustee Four

CYNTHIA HOCKETT
TRUSTEE
415 W GRAND RIVER AVE
EAST LANSING MI 48823

Officer/Director/Trustee Five

PETER WOOD
TRUSTEE
4272 WEST HAGADORN SUITE 28
EAST LANSING MI 48823

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
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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