FORM 1023-EZ for INTERNATIONAL SOCIETY FOR RESEARCHON PSYCHEDELICS INC

Field Data
EIN 83-3040388
Case Number EO-2019053-000042
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL SOCIETY FOR RESEARCHON PSYCHEDELICS INC
Organization’s Mailing Address 3001 MERCER UNIVERSITY DRIVE
City ATLANTA
State GA
ZIP 30341
Accounting period End 12
Primary contact name MONICA J STERN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NICHOLS
PRESIDENT
56702 NASH
CHAPEL HILL NC 27517

Officer/Director/Trustee Two

MATTHEW JOHNSON
PRESIDENT ELECT
413 DREW ST
BALTIMORE MD 21224

Officer/Director/Trustee Three

CHARLES NICHOLS
SECRETARY
5120 CHESTNUT ST
NEW ORLEANS LA 70115

Officer/Director/Trustee Four

PETER HENDRICKS
PROGRAM CHAIR
3044 WARRINGTON RD
MOUNTAIN BROOK AL 35223

Officer/Director/Trustee Five

KEVIN MURNANE
TREASURER
3423 PIEDMONT RD NE
ATLANTA GA 30305

Organization’s website N/A
Organization’s email MURNANE_KS@MERCER.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 KEVIN MURNANE
Signature Title TREASURER
Signature Date 2/20/19
EIN 83-3040388
Case Number EO-2019053-000042
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL SOCIETY FOR RESEARCH ON PSYCHEDELICS INC
Organization’s Mailing Address 3001 MERCER UNIVERSITY DRIVE
City ATLANTA
State GA
ZIP 30341
Accounting period End 12
Primary contact name MONICA J STERN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NICHOLS
PRESIDENT
56702 NASH
CHAPEL HILL NC 27517

Officer/Director/Trustee Two

MATTHEW JOHNSON
PRESIDENT ELECT
413 DREW ST
BALTIMORE MD 21224

Officer/Director/Trustee Three

CHARLES NICHOLS
SECRETARY
5120 CHESTNUT ST
NEW ORLEANS LA 70115

Officer/Director/Trustee Four

PETER HENDRICKS
PROGRAM CHAIR
3044 WARRINGTON RD
MOUNTAIN BROOK AL 35223

Officer/Director/Trustee Five

KEVIN MURNANE
TREASURER
3423 PIEDMONT RD NE
ATLANTA GA 30305

Organization’s website N/A
Organization’s email MURNANE_KS@MERCER.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 KEVIN MURNANE
Signature Title TREASURER
Signature Date 2/20/19

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