FORM 1023-EZ for SAN FRANCISCO PSYCHEDELIC SOCIETY

Field Data
EIN 84-3476999
Case Number EO-2019301-000788
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN FRANCISCO PSYCHEDELIC SOCIETY
Organization’s Mailing Address 873 20TH ST
City OAKLAND
State CA
ZIP 94607
Accounting period End 12
Primary contact name ANDREW HAMMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW HAMMOND
CHAIR / CEO
1306 BANCROFT WAY
BERKELEY CA 94702

Officer/Director/Trustee Two

JEN MENDEZ
SECRETARY
1306 BANCROFT WAY
BERKELEY CA 94702

Officer/Director/Trustee Three

LAURIE PATTON
TREASURER / CFO
153 RIDGE ROAD
FAIRFAX CA 94930

Organization’s website HTTP://PSYCHEDELICSOCIETYSF.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 Yes
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 ANDREW HAMMOND
Signature Title CHAIR / CEO
Signature Date 10/25/19

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