2013-11-05T16:36:06-06:00 2012-12-31 680430859 Robert Brownstein CPA 802 B Street San Rafael CA 949013026 990 2012-01-01 680266679 Child Therapy Institute of Marin CHIL 4154567724 1480 Lincoln Ave No 8 San Rafael CA 94901 Brian Lukas 4154567724 2013-11-05 1 Robert Brownstein CPA P00168910 4154536742 X 2012 2016-03-07 17:11:31Z Child Therapy Institute of Marin Brian Lukas 1480 Lincoln Ave 8 San Rafael CA 94901 201681 0 X www.childtherapyinstitute.org X 1992 CA The organization provides affordable mental health services to children from dysfunctional families and adults recovering from childhhod trauma resultinng from sexual, physical and emotional abuse. The organization provides continuing education to mental heatlh care providers who work with children and adults with these needs. 4 3 2 0 2000 0 7778 7764 90241 190842 0 0 3350 3075 101369 201681 0 0 0 0 24402 38417 24857 0 456 47591 145202 96850 183619 4519 18062 8971 27053 2167 2187 6804 24866 X The organization provides affordable mental health services to children from dysfunctional families and adults recovering from childhhod trauma resultinng from sexual, physical and emotional abuse. The organization provides continuing education to mental heatlh care providers who work with children and adults with these needs. 0 0 157251 191917 The organization has provided counseling for children and adults. 157251 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 9 0 0 2 1 0 0 0 0 0 0 0 0 X 4 3 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 CA X The Organization 4154567724 1480 Lincoln Ave San Rafael CA 94901 Rae Anne Goldberg 2.00 X 0 0 0 Brian Lukas 15.00 X 18540 0 0 David Capitolo 2.00 X 0 0 0 Paul Cerami 2.00 X 0 0 0 18540 0 0 0 0 0 0 0 2768 4996 7764 Psychotherapy 621400 190842 190842 190842 2000 0 2000 2000 0 2000 Workshop 900099 1075 1075 1075 201681 191917 2000 0 18453 18453 16698 16698 3266 3266 12038 12038 16985 16935 50 740 740 2964 2964 33700 33700 1449 1449 319 319 6017 6017 Medi-Cal/PP Reimburseme 47622 47622 Intern Reimbursement 6341 6341 Telephone 5183 5183 Petaluma Medi-cal 2909 2909 8935 4570 3909 456 183619 157251 25912 456 963 1030 8008 25887 319 183 0 136 8971 27053 2167 2187 2167 2187 X 0 0 0 0 6804 24866 6804 24866 8971 27053 18062 0 X 0 0 0 X 5820 5204 9505 7778 7764 36071 92005 111540 94694 93591 193917 585747 97825 116744 104199 101369 201681 621818 0 0 0 621818 200 800 200 675 1875 200 800 200 675 1875 98025 117544 104399 102044 201681 623693 0.99700 0.00300 X 319 183 136 136 Explanation for Not Filing Form 990-T Form 990, Part V, line 3b The organization receiveed $2,000 from the rental of office space to other therapists. Form 990, Part VI, Section A, line 2 The organization rents office space from David Capitolo, a Board Member, at a fair market rent. Form 990, Part VI, Section B, line 11 The Board of Directors has authorized the Executive Director to review and approve the Form 990 and Form 199. Form 990, Part VI, Section B, line 12 The organization will be adding a written conflict of interest poliicy to their bylaws. . All payments for services are reviewed to protect against conflicts of interest. Form 990, Part VI, Section B, line 15a Salaries are determined by reviewing compensation paid by similar organizations for the positions to be filled. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy and financial statements are available for public inspection at the organizations location. Board of Directors Contact Information Form Part VI Section A Question 9 Brian Lukas Executive Director 1480 Lincoln Ave #8, San Rafael, CA 94901 David Capitolo President 1480 Lincoln Ave #8, San Rafael, CA 94901 Paul Cerami Vice President 1480 Lincoln Ave #8, San Rafael, CA 94901 Rae Anne Goldberg 1480 Lincoln Ave #8, San Rafael, CA 94901