FORM 1023-EZ for ASSOCIATION FOR CONTEXTUAL BEHAVIORAL SCIENCE FOUNDATION

Field Data
EIN 83-2620099
Case Number EO-2019030-001123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION FOR CONTEXTUAL BEHAVIORAL SCIENCE FOUNDATION
Organization’s Mailing Address 470 SIUNNYSIDE DR
City RENO
State NV
ZIP 89503
Accounting period End 12
Primary contact name JAMES RILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW GLOSTER PHD
DIRECTOR
1135 TERMINAL WAY SUITE 209
RENO NV 89502

Officer/Director/Trustee Two

NILOOFAR AFARI PHD
DIRECTOR
1135 TERMINAL WAY SUITE 209
RENO NV 89502

Officer/Director/Trustee Three

JAN MARTZ
DIRECTOR
1135 TERMINAL WAY
RENO NV 89502

Officer/Director/Trustee Four

JAMES RILEY
DIRECTOR
470 SUNNYSIDE DR
RENO NV 89503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 JAMES RILEY
Signature Title DIRECTOR
Signature Date 12/31/18

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