FORM 1023-EZ for PSANCTUM PSYCHEDELIA
| Field | Data |
|---|---|
| EIN | 84-5134574 |
| Case Number | EO-2020085-000175 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PSANCTUM PSYCHEDELIA |
| Organization’s Mailing Address | 4207 SE WOODSTOCK BLVD 106 |
| City | PORTLAND |
| State | OR |
| ZIP | 97206 |
| Accounting period End | 12 |
| Primary contact name | TOM HATSIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THOMAS HATSIS
PRESIDENT
4207 SE WOODSTOCK BLVD 106
PORTLAND OR 97206
Officer/Director/Trustee Two
EDEN WOODRUF
SECRETARY
4207 SE WOODSTOCK BLVD 106
PORTLAND OR 97206
Officer/Director/Trustee Three
MORGAN HUTCHINSON
TREASURER
1306 NW 43RD ST
VANCOUVER WA 98660
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/13/2020 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: No Religious: Yes Educational: Yes Scientific: Yes Literary: Yes 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | THOMAS HATSIS |
| Signature Title | PRESIDENT |
| Signature Date | 3/23/2020 |
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