FORM 1023-EZ for CONSORTIUM TO ADVANCE SCHOOL PSYCHOLOGY- INTERNATIONAL

Field Data
EIN 47-1780900
Case Number EO-2016061-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONSORTIUM TO ADVANCE SCHOOL PSYCHOLOGY- INTERNATIONAL
Organization’s Mailing Address 13139 BROOKHURST STREET SUITE A
City GARDEN GROVE
State CA
ZIP 92843
Accounting period End 12
Primary contact name PHUONG LE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHUONG LE
PRESIDENT/DIRECTOR
13139 BROOKHURST STREET SUITE A
GARDEN GROVE CA 92843

Officer/Director/Trustee Two

MARCELINA ROUSSOS
TREASURER/DIRECTOR
13139 BROOKHURST STREET SUITE A
GARDEN GROVE CA 92843

Officer/Director/Trustee Three

TRACY SCHERR
SECRETARY/DIRECTOR
13139 BROOKHURST STREET SUITE A
GARDEN GROVE CA 92843

Organization’s website WWW.CASP-I.ORG
Organization’s email PHUONGLE@CASP-I.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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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