FORM 1023-EZ for PSYCHTABLE INC
| Field | Data |
|---|---|
| EIN | 47-5591405 |
| Case Number | EO-2016035-000172 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PSYCHTABLE INC |
| Organization’s Mailing Address | 36 TOBEY ROAD UNIT 28 |
| City | DRACUT |
| State | MA |
| ZIP | 01826-4931 |
| Accounting period End | 1 |
| Primary contact name | DANIEL GLASS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
NIRUBAN BALACHANDRAN
PRESIDENT
A41AL SUDIRMAN PARK/ JLN MH MAS
JAKARTA INDONESIA AA 12190
Officer/Director/Trustee Two
DANIEL GLASS
TREASURER
36 TOBEY RD UNIT 28
DRACUT MA 01826-4931
Officer/Director/Trustee Three
DANIEL GLASS
CLERK
36 TOBEY RD UNIT 28
DRACUT MA 01826-4931
Officer/Director/Trustee Four
AMY JACOBSON
DIRECTOR
117 AGRESS ST
MILLSTONE TWNSHP NJ 08510-1604
Officer/Director/Trustee Five
KATRINA HERCULES
DIRECTOR
1908 CLINTON ST APT 4
LOS ANGELES CA 90026-4159
| Organization’s website | HTTP://WWW.PSYCHTABLE.ORG |
|---|---|
| Organization’s email | INFO@PSYCHTABLE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/30/2015 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | V30 - Interdisciplinary Research |
| Organization’s purpose | Charitable: No 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 | Yes |
| Financial transactions with officers | No |
| 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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