FORM 1023-EZ for AMERICAN BOARD OF SPORT PSYCHOLOGY

Field Data
EIN 84-3154847
Case Number EO-2020003-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN BOARD OF SPORT PSYCHOLOGY
Organization’s Mailing Address 675 ACADEMY 2E
City NEW YORK
State NY
ZIP 10034
Accounting period End 4
Primary contact name ROLAND A CARLSTEDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLAND CARLSTEDT
CHAIRMAN
675 ACADEMY 2E
NEW YORK NY 10034-4204

Officer/Director/Trustee Two

DENISE FORTINO
TREASURER
675 ACADEMY 2E
NEW YORK NY 10034-4204

Officer/Director/Trustee Three

LESLIE WEISER
BOARD MEMBER
45 OAKLAND ST
WELLESLEY MA 02481

Officer/Director/Trustee Four

JAMES TABANO
BOARD MEMBER
49 BRADFORD ST
GLEN ROCK NJ 07452-2101

Officer/Director/Trustee Five

AJAY WASAN
BOARD MEMBER
5750 CENTRE AVE 260
PITTSBURGH PA 15206

Organization’s website WWW.AMERICANBOARDOFSPORTPSYCHOLOGY.ORG
Organization’s email INFO@AMERICANBOARDOFSPORTPSYCHOLOGY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROLAND CARLSTEDT
Signature Title CHAIRMAN
Signature Date 1/1/2020

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