FORM 1023-EZ for THE AMERICAN SOCIETY OF NUTRITIONALPSYCHIATRY INC

Field Data
EIN 83-2483226
Case Number EO-2019095-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AMERICAN SOCIETY OF NUTRITIONALPSYCHIATRY INC
Organization’s Mailing Address 205 S BANANA RIVER BLVD UNIT 105
City COCOA BEACH
State FL
ZIP 32931
Accounting period End 12
Primary contact name FREDERICK STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FREDERICK STEWART
DIRECTOR/PRESIDENT
205 SOUTH BANANA RIVER BLVD UNIT 1
COCOA BEACH FL 32931

Officer/Director/Trustee Two

ISLAM GANIE
DIRECTOR
4056 38TH AVE NORTH
ST. PETERSBURG FL 33713

Officer/Director/Trustee Three

BARRON ROTH
DIRECTOR
10520 TAYLOR RD
THONOTOSASSA FL 33592

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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 FREDERICK STEWART
Signature Title DIRECTOR/PRESIDENT
Signature Date 4/3/19

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