| Field | Data |
|---|---|
| EIN | 82-1206912 |
| Case Number | EO-2017142-000647 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE KETAMINE RESEARCH FOUNDATION |
| Organization’s Mailing Address | 6 CREST ROAD |
| City | SAN ANSELMO |
| State | CA |
| ZIP | 94960 |
| Accounting period End | 12 |
| Primary contact name | PHILIP E WOLFSON MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
PHILIP WOLFSON
PRESIDENT
6 CREST ROAD
SAN ANSELMO CA 94960
JULANE ANDRIES
SECRETERY
6 CREST ROAD
SAN ANSELMO CA 94960
GARY BRAVO
TREASURER
PO BOX 117
CAZADERO CA 95421
DAVID PRESTI
DIRECTOR
1924 COLORADO
BERKELEY CA 94707
MICHAEL ZIEGLER
DIRECTOR
132 PUDUE
BERKELEY CA 94708
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/17/2017 |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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