FORM 1023-EZ for SENIOR PSYCHIATRISTS INC

Field Data
EIN 46-2439668
Case Number EO-2016244-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR PSYCHIATRISTS INC
Organization’s Mailing Address 550M RITCHIE HIGHWAY STE 271
City SEVERNA PARK
State MD
ZIP 21146
Accounting period End 12
Primary contact name PATRICIA TROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA TROY
EXECUTIVE DIRECTOR
550M RITCHIE HWY 271
SEVERNA PARK MD 21146

Officer/Director/Trustee Two

WILLIAM LAWSON MD
PRESIDENT
550M RITCHIE HWY 271
SEVERNA PARK MD 21146

Officer/Director/Trustee Three

JACK BONNER MD
TREASURER
550M RITCHIE HWY 271
SEVERNA PARK MD 21146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2013
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 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
Signature Title
Signature Date
EIN 46-2439668
Case Number EO-2014310-000554
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR PSYCHIATRISTS INC
Organization’s Mailing Address 550M RITCHIE HIGHWAY STE 271
City SEVERNA PARK
State MD
ZIP 21146
Accounting period End 12
Primary contact name PATRICIA H TROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NADA STOTLAND
PRESIDENT
5511 S KENWOOD AVE
CHICAGO IL 60637

Officer/Director/Trustee Two

JACK BONNER
VICE PRESIDENT
4 BROOKSIDE WAY
GREENVILLE SC 29605

Officer/Director/Trustee Three

NORMAN CLEMENS
SECRETARY
1611 SOUTH GREEN ST STE 301
SOUTH EUCLID OH 44121

Officer/Director/Trustee Four

ROBERT M PEARCE
TREASURER
6499 N EWING ST
INDIANAPOLIS IN 46201

Officer/Director/Trustee Five

PATRICIA TROY
EXECUTIVE DIRECTOR
182 DONCASTER ROAD
ARNOLD MD 21012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2013
Organization Incorporation State MD
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: No
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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