FORM 1023-EZ for INTERNATIONAL ACADEMY ON THE SCIENCE AND IMPACT OF CANNABIS

Field Data
EIN 86-1909279
Case Number EO-2021093-000809
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL ACADEMY ON THE SCIENCE AND IMPACT OF CANNABIS
Organization’s Mailing Address 4010 UNIVERSITY DRIVE SECOND FLOOR
City FAIFAX
State VA
ZIP 22030
Accounting period End 12
Primary contact name CARI LYN B PIERCE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC VOTH
DIRECTOR
4021 SW 10TH UNIT 137
TOPEKA KS 66604

Officer/Director/Trustee Two

KEN FINN
DIRECTOR
6005 DELMONICO DRIVE SUITE 130
COLORADO SPRINGS CO 80919

Officer/Director/Trustee Three

RONEET LEV
DIRECTOR
13035 POMERADO ROAD SUITE B
POWAY CA 92064

Officer/Director/Trustee Four

CATHERINE ANTLEY
DIRECTOR
PO BOX 4521
BURLINGTON VT 05406-4521

Officer/Director/Trustee Five

JUDITH MARGULIES
DIRECTOR
53 AMERICA BLVD
ASHLAND MA 01721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 ERIC VOTH
Signature Title DIRECTOR
Signature Date 3/3/2021

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