FORM 1023-EZ for VERMONT PSYCHOANALYTIC SOCIETY ANDINSTITUTE INC
| Field | Data |
|---|---|
| EIN | 26-3592553 |
| Case Number | EO-2014316-000142 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | VERMONT PSYCHOANALYTIC SOCIETY ANDINSTITUTE INC |
| Organization’s Mailing Address | 8 CARMICHAEL STREET SUITE 204 |
| City | ESSEX JUNCTION |
| State | VT |
| ZIP | 05452 |
| Accounting period End | 12 |
| Primary contact name | WALLACE W TAPIA CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MINA LEVINSKY-WOHL MD
PRESIDENT
8 CARMICHAEL STREET SUITE 204
ESSEX JUNCTION VT 05452
Officer/Director/Trustee Two
DOUGLAS DENNETT MD
TREASURER
8 CARMICHAEL STREET SUITE 204
ESSEX JUNCTION VT 05452
Officer/Director/Trustee Three
MIKA BARKER-HART LCSW FIPA
SECRETARY
8 CARMICHAEL STREET SUITE 204
ESSEX JUNCTION VT 05452
Officer/Director/Trustee Four
SHARON DENNETT MSW
TRAINING DIRECTOR
8 CARMICHAEL STREET SUITE 204
ESSEX JUNCTION VT 05452
Officer/Director/Trustee Five
WILLIAM BUTLER PHD
PAST PRESIDENT
8 CARMICHAEL STREET SUITE 204
ESSEX JUNCTION VT 05452
| Organization’s website | WWW.VERMONTPSYCHOANALYTIC.ORG |
|---|---|
| Organization’s email | DRDENNETT@MSN.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/2/2008 |
| Organization Incorporation State | VT |
| 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: No 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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