| Field | Data |
|---|---|
| EIN | 47-4877550 |
| Case Number | EO-2017248-000334 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KETAMINE ADVOCACY NETWORK |
| Organization’s Mailing Address | 4580 KLAHANIE DR SE 472 |
| City | ISSAQUAH |
| State | WA |
| ZIP | 98029-5812 |
| Accounting period End | 12 |
| Primary contact name | DENNIS HARTMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DENNIS HARTMAN
EXECUTIVE DIRECTOR
4580 KLAHANIE DR SE 472
ISSAQUAH WA 98029-5812
DANIEL DREW
DIRECTOR
14 292ND AVE SE
FALL CITY WA 98024-7404
MARJORIE BOWKER
DIRECTOR
536 BELL ST
EDMONDS WA 98020-3147
KIMBERLEY GARRISON
DIRECTOR
4654 NE 34TH AVE
PORTLAND OR 97211-7602
| Organization’s website | WWW.KETAMINENETWORK.ORG |
|---|---|
| Organization’s email | KETADVOCATE@KETAMINENETWORK.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/26/2015 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - Alliance/Advocacy Organizations |
| 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 | Yes |
| 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 | 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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