FORM 1023-EZ for SOCIETY OF IRANIAN PSYCHIATRISTS OFNORTH AMERICA

Field Data
EIN 82-5082273
Case Number EO-2019079-000650
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIETY OF IRANIAN PSYCHIATRISTS OFNORTH AMERICA
Organization’s Mailing Address 10850 WILSHIRE BOULEVARD SUITE 520
City LOS ANGELES
State CA
ZIP 90024
Accounting period End 4
Primary contact name ALI SHAMIE MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAHIM SHAFA
DIRECTOR
10850 WILSHIRE BOULVARD SUITE 520
LOS ANGELES CA 90024

Officer/Director/Trustee Two

HAMID REZA AMANATKAR
VICE PRESIDENT
1085 WILSHIRE BOULVARD SUITE 520
LOS ANGELES CA 90024

Officer/Director/Trustee Three

IRAJ SIASSI
FOUNDER AND CEO
10850 WILSHIRE BOULVARD SUITE 520
LOS ANGELES CA 90024

Officer/Director/Trustee Four

ALI SHAMIE
SECRATARY
10850 WILSHIRE BOULVARD SUITE 520
LOS ANGELES CA 90024

Officer/Director/Trustee Five

ALI SHAMIE
TREASURER
10850 WILSHIRE BOULVARD SUITE 520
LOS ANGELES CA 90024

Organization’s website SIPNA.NET
Organization’s email SPINAMEMBERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 RAHIM SHAFA
Signature Title DIRECTOR
Signature Date 3/18/19

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