| Field | Data |
|---|---|
| EIN | 61-1732908 |
| Case Number | EO-2021239-000068 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INDIANA ASSOCIATION OF BLACK PSYCHOLOGISTS |
| Organization’s Mailing Address | PO BOX 36231 |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46236 |
| Accounting period End | 12 |
| Primary contact name | CARRIE DIXON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DAVID ROLLOCK
CHAPTER PRESIDENT
703 THIRD STREET
WEST LAFAYETTE IN 47907-2081
CARRIE DIXON
TREASURER
1102 EVERGREEN COURT
ANDERSON IN 46012-5506
BENETTA JOHNSON
SECRETARY
5610 CRAWFORDSVILLE ROAD SUITE 701
INDIANAPOLIS IN 46224-3739
| Organization’s website | NOT APPLICABLE |
|---|---|
| Organization’s email | INDIANAABPSI@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/1976 |
| Organization Incorporation State | IN |
| 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: 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 | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | CARRIE DIXON |
| Signature Title | TREASURER |
| Signature Date | 8/25/2021 |
| EIN | 61-1732908 |
| Case Number | EO-2015189-000063 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | INDIANA ASSOCIATION OF BLACK PSYCHOLOGISTS |
| Organization’s Mailing Address | PO BOX 68092 |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46268-1580 |
| Accounting period End | 12 |
| Primary contact name | HERBERT HENRY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
HERBERT HENRY
TREASURER
3737 N MERIDIAN STREET SUITE 506
INDIANAPOLIS IN 46208
BENETTA JOHNSON
PRESIDENT
5610 CRAWFORDSVILLE ROAD SUITE 701
INDIANAPOLIS IN 46224-3739
MARTHA DAVIS
VICE PRESIDENT
7728 WIND RUN CIRCLE
INDIANAPOLIS IN 46256
ADRIENNE COX
SECRETARY
4533 N BROADWAY STREET
INDIANAPOLIS IN 46205
| Organization’s website | WWW.FACEBOOK.COM/IABPSI |
|---|---|
| Organization’s email | INDIANAABPSI@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/1976 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J03 - Professional Societies, Associations |
| 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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