FORM 1023-EZ for PSYCHOPHYSIOLOGIC DISORDERS ASSOCIATION
| Field | Data |
|---|---|
| EIN | 45-0678253 |
| Case Number | EO-2018043-000263 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PSYCHOPHYSIOLOGIC DISORDERS ASSOCIATION |
| Organization’s Mailing Address | 11450 SE CASCADE VIEW CT |
| City | HAPPY VALLEY |
| State | OR |
| ZIP | 97086 |
| Accounting period End | 12 |
| Primary contact name | DEREK SAPICO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID CLARKE
PRESIDENT/DIRECTOR
11450 SE CASCADE VIEW CT
HAPPY VALLEY OR 97086
Officer/Director/Trustee Two
DEREK SAPICO
TREASURER
11450 SE CASCADE VIEW CT
HAPPY VALLEY OR 97086
Officer/Director/Trustee Three
ROBERT MUNGER
VP/DIRECTOR
11450 SE CASCADE VIEW CT
HAPPY VALLEY OR 97086
Officer/Director/Trustee Four
ALAN GORDON
SECRETARY/DIRECTOR
11450 SE CASCADE VIEW CT
HAPPY VALLEY OR 97086
Officer/Director/Trustee Five
HOWARD SCHUBINER
DIRECTOR
11450 SE CASCADE VIEW CT
HAPPY VALLEY OR 97086
| Organization’s website | WWW.PPDA.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/17/11 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DEREK SAPICO |
| Signature Title | TREASURER |
| Signature Date | 2/8/18 |
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