FORM 1023-EZ for PSYCHEDELIC SOCIETY OF MINNESOTA

Field Data
EIN 85-0620545
Case Number EO-2020176-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PSYCHEDELIC SOCIETY OF MINNESOTA
Organization’s Mailing Address PO BOX 13348
City MINNEAPOLIS
State MN
ZIP 55414
Accounting period End 12
Primary contact name ROBERT FISK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER GUNLOCK
PRESIDENT/EXECUTIVE DIRECTOR
3419 NICOLLET AVE APT 202
MINNEAPOLIS MN 55408

Officer/Director/Trustee Two

ROBERT FISK
TREASURER
34178 OSTLUND TRAIL N
MARINE MN 55047

Officer/Director/Trustee Three

BRYAN EBERT
SECRETARY
2314 UPTON AVE N
MINNEAPOLIS MN 55411

Officer/Director/Trustee Four

JESSICA NIELSON
VICE PRESIDENT
3101 E BDE MAKA SKA PKWY APT 302
MINNEAPOLIS MN 55408

Organization’s website WWW.PSYCHEDELICMN.COM
Organization’s email PSYCHEDELICMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name CHRISTOPHER GUNLOCK
Signature Title PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 6/22/2020

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