FORM 1023-EZ for PSYCHME

Field Data
EIN 84-2808124
Case Number EO-2019235-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PSYCHME
Organization’s Mailing Address 1345 ROBSHEAL DR
City SAN JOSE
State CA
ZIP 95125-3973
Accounting period End 12
Primary contact name GEORGE PORNARAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE PORNARAS
PRESIDENT SECRETARY TREASURER
1345 ROBSHEAL DR
SAN JOSE CA 95125-3973

Organization’s website PSYCH.ME
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State CO
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 Yes
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 GEORGE PORNARAS
Signature Title PRESIDENT SECRETARY TREASURER
Signature Date 8/21/19

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