FORM 1023-EZ for INTERNATIONAL ASSOCIATION OF PSYCHEDELIC NURSING

Field Data
EIN 84-5029397
Case Number EO-2021153-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL ASSOCIATION OF PSYCHEDELIC NURSING
Organization’s Mailing Address 10003 CR 34 SUITE 3
City DADEVILLE
State AL
ZIP 36853-5385
Accounting period End 12
Primary contact name TAYLOR L HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR HAYES
MS
10003 CR 34 SUITE 3
DADEVILLE AL 36853-5385

Officer/Director/Trustee Two

FRANK SOSKA
MR
13 OAK LANE
SHALIMAR FL 32579

Officer/Director/Trustee Three

LEIGH CARR
MRS
7450 MIZE ROAD
SHAWNEE KS 66227

Organization’s website WWW.PSYCHEDELICNURSING.ORG
Organization’s email INFO@PSYCHEDELICNURSING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 TAYLOR HAYES
Signature Title MS
Signature Date 5/31/2021

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