FORM 1023-EZ for BIPOLAR AND DEPRESSION OUTCOMES RESEARCH INSTITUTE

Field Data
EIN 83-0976018
Case Number EO-2018186-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIPOLAR AND DEPRESSION OUTCOMES RESEARCH INSTITUTE
Organization’s Mailing Address PO BOX 295
City SAUSALITO
State CA
ZIP 94966-295
Accounting period End 12
Primary contact name TOM WOOTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM WOOTTON
CHIEF EXECUTIVE OFFICER
PO BOX 295
SAUSALITO CA 94966-295

Officer/Director/Trustee Two

SHEYLA STEVENS
SECRETARY
4601 PATRICK HENRY CIRCLE UNIT A
SCOTT AFB IL 62225-6208

Officer/Director/Trustee Three

DECLAN DEVEREAU
CHIEF FINANCIAL OFFICER
1993 KUNIHI PL
HONOLULU HI 96821-1367

Officer/Director/Trustee Four

MICHAEL PETERSON
DIRECTOR
7591 NW 1ST STREET APT 208
MARGATE FL 33063-7544

Officer/Director/Trustee Five

TOM FLAHERTY
DIRECTOR
6009 FOREST LANE
FORT WORTH TX 76112-1059

Organization’s website HTTPS://WWW.BDORI.ORG
Organization’s email INFO@BDORI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F05 - Research Institutes and/or Public Policy Analysis
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 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 TOM WOOTTON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/2/18

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