FORM 1023-EZ for CENTER FOR TRANSPERSONAL PSYCHIATRY

Field Data
EIN 85-0580517
Case Number EO-2020097-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR TRANSPERSONAL PSYCHIATRY
Organization’s Mailing Address 1604 3RD ST CIR E
City PALMETTO
State FL
ZIP 34221-4285
Accounting period End 12
Primary contact name ELI KOLP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELI KOLP
PRESIDENT
1406 3RD ST CIR E
PALMETTO FL 34221-4285

Officer/Director/Trustee Two

ANNA KOLP
TREASURER
9052 BAYWOOD DRIVE PARK
SEMINOLE FL 33777

Officer/Director/Trustee Three

FABIOLA KOLP
SECRETARY
1604 3RD ST CIR E
PALMETTO FL 34221-4285

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FABIOLA KOLP
Signature Title SECRETARY
Signature Date 4/2/2020

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