FORM 1023-EZ for THE SOCIETY OF LIAISON PSYCHIATRY

Field Data
EIN 13-3036301
Case Number EO-2018067-000019
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SOCIETY OF LIAISON PSYCHIATRY
Organization’s Mailing Address 349 E 49TH ST APT 1K
City NEW YORK
State NY
ZIP 10017
Accounting period End 12
Primary contact name ASHER ALADJEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHER ALADJEM
LIAISON TO APA
349 E 49TH ST APT 1K
NEW YORK NY 10017

Officer/Director/Trustee Two

OMAR MIRZA
JUNIOR BOARD MEMBER
350 WEST 42ND ST APT 24M
NEW YORK NY 10036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/78
Organization Incorporation State NY
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 Yes
Correctness Declaration Yes
Signature Name OMAR MIRZA
Signature Title JUNIOR BOARD MEMBER
Signature Date 3/6/18

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