FORM 1023-EZ for DELOS PSYCHE RESEARCH GROUP

Field Data
EIN 85-0724585
Case Number EO-2020139-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELOS PSYCHE RESEARCH GROUP
Organization’s Mailing Address 532 TYRELLA CT APT 45
City MOUNTAIN VIEW
State CA
ZIP 94043
Accounting period End 12
Primary contact name RICHARD KNOWLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD KNOWLES
PRESIDENT
532 TYRELLA CT APT 45
MOUNTAIN VIEW CA 94043

Officer/Director/Trustee Two

GEORGETTE MONSERRAT
BOARD MEMBER
614 GALER ST UNIT 429
SEATTLE WA 98109

Officer/Director/Trustee Three

JANA ADAMOVA
TREASURER
1060 HAVEN AVE
REDWOOD CITY CA 94063

Officer/Director/Trustee Four

ERIC SIENKNECHT
SECRETARY
57 BELLAIR PLACE
SAN FRANCISCO CA 94133

Officer/Director/Trustee Five

IAN ROSSMAN
BOARD MEMBER
1215 E SOUTHERN AVE
INDIANAPOLIS IN 46203

Organization’s website WWW.DELOSPSYCHE.ORG
Organization’s email INFO@DELOSPSYCHE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
Organization’s purpose Charitable: Yes
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 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 RICHARD KNOWLES
Signature Title PRESIDENT
Signature Date 5/15/2020

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