FORM 1023-EZ for INITIATIVE FOR DEPERSONALIZATION STUDIES

Field Data
EIN 82-3761328
Case Number EO-2020274-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INITIATIVE FOR DEPERSONALIZATION STUDIES
Organization’s Mailing Address 104 ELIZABETH PAGE
City WILLIAMSBURG
State VA
ZIP 23185
Accounting period End 12
Primary contact name JEFFREY ABUGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM WILSON
BOARD MEMBER
1917 WEST 56TH ST
LAGRANGE IL 60525

Officer/Director/Trustee Two

ELENA BEZZUBOVA
BOARD MEMBER
360 SAN MIGUEL DRIVE
NEWPORT BEACH CA 92660

Officer/Director/Trustee Three

JEFFREY ABUGEL
DIRECTOR
104 ELIZABETH PAGE
WILLIAMSBURG VA 23185

Officer/Director/Trustee Four

ALICE KATHRYN
BOARD MEMBER
809 EAST 54TH ST
CHICAGO IL 60615

Organization’s website WWW.DEPERSONALIZATION.INFO
Organization’s email DEPERSONALIZATIONSTUDIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2017
Organization Incorporation State VA
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: 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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JEFFREY ABUGEL
Signature Title DIRECTOR
Signature Date 9/26/2020
EIN 82-3761328
Case Number EO-2018110-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INITIATIVE FOR DEPERSONALIZATION STUDIES
Organization’s Mailing Address 104 MARSHALL STREET
City PETERSBURG
State VA
ZIP 23803
Accounting period End 12
Primary contact name JEFF ABUGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF ABUGEL
PRESIDENT
104 MARSHALL STREET
PETERSBURG VA 23803

Officer/Director/Trustee Two

DAPHNE SIMEON
BOARD MEMBER
350 CENTRAL PARK WEST
NEW YORK NY 10025

Officer/Director/Trustee Three

JANE CHARLTON
BOARD MEMBER
104 MARSHALL ST
PETERSBURG VA 23803

Organization’s website WWW.DEPERSONALIZATION.INFO
Organization’s email DEPERSONALIZATIONSTUDIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
Organization’s purpose Charitable: No
Religious: No
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 Yes
Donation of funds Yes
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 JEFF ABUGEL
Signature Title PRESIDENT
Signature Date 4/18/18

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