FORM 1023-EZ for INSTITUTE FOR SOCIAL AND APPLIED NEUROSCIENCE
| Field | Data |
|---|---|
| EIN | 84-3183959 |
| Case Number | EO-2019277-000368 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INSTITUTE FOR SOCIAL AND APPLIED NEUROSCIENCE |
| Organization’s Mailing Address | 1712 PIONEER AVE STE 5942A |
| City | CHEYENNE |
| State | WY |
| ZIP | 82001 |
| Accounting period End | 4 |
| Primary contact name | NADIA WEBB |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NADIA WEBB
SECRETARY
1631 NE BROADWAY BOX 237
PORTLAND OR 97232
Officer/Director/Trustee Two
JENNIFER VAN VELKINBURGH
PRESIDENT
707 PALACE ST NUM 6
SANTA FE NM 87505
Officer/Director/Trustee Three
ELLAINE MAZZIOTTI
TREASURER
554 VIA ARISTA
SANTA FE NM 87506
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/26/15 |
| Organization Incorporation State | WY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S05 - 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 | NADIA WEBB |
| Signature Title | SECRETARY |
| Signature Date | 9/30/19 |
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