FORM 1023-EZ for NORTH AMERICAN MYCOFLORA PROJECT INCORPORTATED

Field Data
EIN 82-3721471
Case Number EO-2018016-000515
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH AMERICAN MYCOFLORA PROJECT INCORPORTATED
Organization’s Mailing Address 820 ELM DR
City WEST LAFAYETTE
State IN
ZIP 47906
Accounting period End 12
Primary contact name STEPHEN RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN RUSSELL
OFFICER
820 ELM DR
WEST LAFAYETTE IN 47906

Officer/Director/Trustee Two

WILLIAM SHEEHAN
OFFICER
205 THREE OAKS DR
ATHENS GA 30607

Officer/Director/Trustee Three

CHRISTIAN SCHWARZ
OFFICER
1156 HIGH STREET
SANTA CRUZ CA 95060

Officer/Director/Trustee Four

ALIJA MUJIC
OFFICER
PO BOX 110680
GAINESVILLE FL 32611-680

Organization’s website HTTP://WWW.MYCOFLORA.ORG
Organization’s email INFO@MYCOFLORA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/17
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U50 - Biological, Life Science Research
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 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 STEPHEN RUSSELL
Signature Title OFFICER
Signature Date 1/12/18

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