Civic Intelligence

Psychedelic Research and Training Institute

EIN 84-3307188 • 501(c)3 • Fort Collins, CO

Profile

Prati is a nonprofit community of practitioners, researchers, and educators. Through psychedelic medicine, prati nurtures a new approach to mental health and illuminates a pathway for individual and planetary healing. We do so by expanding professional capacity for transformational care, restoring a relational paradigm of health and healing, and conducting clinically relevant research.

2620 East Prospect Road Suite 190Fort Collins, CO 80525

pratigroup.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

33rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

58th percentile

8.6%

Higher net margin than 58% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

90th percentile

$116,920

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 20.9% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

75th percentile

19%

Faster asset growth than 75% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

52nd percentile

7.8%

Faster revenue growth than 52% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Up

$296,926

Up $48,179 (+19%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$296,926

Up $48,179 (+19%) from 2023

Operations
Liabilities / Revenue35th percentileNet Margin58th percentile

Revenue

Up

$559,658

Up $40,375 (+7.8%) from 2023

Expenses

Up

$511,479

Up $55,134 (+12%) from 2023

Net Income

Down

$48,179

Down $14,759 (-23%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth75th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2019: $28,801Liabilities 2019: $15,3602019Assets 2022: $185,536Liabilities 2022: $0Net Assets 2022: $185,5362022Assets 2023: $248,747Liabilities 2023: $0Net Assets 2023: $248,7472023Assets 2024: $296,926Liabilities 2024: $0Net Assets 2024: $296,9262024

Highlighted filing

2024

Assets$296,926
Liabilities$0
Net Assets$296,926
Open 2024 Filing

Operations Trend

Revenue Growth52nd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600K$400K$200K$0Revenue 2019: $23,784Expenses 2019: $10,343Net Income 2019: $13,4412019Revenue 2022: $440,493Expenses 2022: $325,904Net Income 2022: $114,5892022Revenue 2023: $519,283Expenses 2023: $456,345Net Income 2023: $62,9382023Revenue 2024: $559,658Expenses 2024: $511,479Net Income 2024: $48,1792024

Highlighted filing

2024

Revenue$559,658
Expenses$511,479
Net Income$48,179
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$296,926
Liabilities
$0
Net assets
$296,926
Revenue
$559,658
Expenses
$511,479
Net income
$48,179
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.97$0.00$2.97$5.60$5.11$0.48
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.49$0.00$2.49$5.19$4.56$0.63
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.86$0.00$1.86$4.40$3.26$1.15
2019Summary only. Only limited summary data is available for this year.$0.29$0.15$0.24$0.10$0.13
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Aug 23, 2023
Return Version
2022v5.0
Gross Receipts
$440,493
Mission and Program Overview

Mission

Prati is a nonprofit community of practitioners, researchers, and educators. Through psychedelic medicine, prati nurtures a new approach to mental health and illuminates a pathway for individual and planetary healing. We do so by expanding professional capacity for transformational care, approach to mental health and illuminates a pathway for individual and planetary healing. We do so by expanding professional capacity for transformational care, restoring a relational paradigm of health and healing, and conducting clinically relevant research.

Prati is a nonprofit community of practitioners, researchers, and educators. Through psychedelic medicine, prati nurtures a new approach to mental health and illuminates a pathway for individual and planetary healing. We do so by expanding professional capacity for transformational care, restoring a relational paradigm of health and healing, and conducting clinically relevant research.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$71,037$185,536▲ $114,499
Loans From Officers Directors$8,018--
Total Assets$71,037$185,536▲ $114,499
Liabilities
Total Liabilities$8,018$0▼ $8,018
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$63,019$185,536▲ $122,517
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$63,019$185,536▲ $122,517
Total Liabilities and Net Assets / Fund Balance$71,037$185,536▲ $114,499
Compensation and Service Providers
Top Officer Pay90th percentile

Employees

NameTitleBaseTotal
Jamie HarvieExecutive Director$50,103$50,103

Board Members and Trustees

NameTitle
Andrew WeilBoard Member
Janis PhelpsBoard Member
Joe TafurBoard Member
Kwasi AduseiBoard Member
Lia MixBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$2,897
Program Service Revenue
$437,596
Investment Income
$0
Other Revenue
$0
All Other Contributions
$2,897
Change in Net Assets
$114,589
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$275,056
Salaries, Compensation, and Employee Benefits$49,848
Grants and Similar Amounts Paid$1,000
Total Fundraising Expense$788
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$178,336$13,927-$192,263
Current Officers, Directors, Trustees, and Key Employees$46,214$3,634-$49,848
Occupancy$22,683$1,541-$24,224
Other Expenses$0$15,875$0$15,875
Office Expenses$13,300$133$788$14,221
Fees for Services Accounting-$13,360-$13,360
Travel$512$4,288-$4,800
Insurance-$4,146-$4,146
Fees for Services Legal-$2,118-$2,118
Advertising-$1,354-$1,354
Grants to Domestic Orgs$1,000--$1,000
Information Technology-$89-$89
Total Functional Expenses$262,045$63,071$788$325,904
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$8,018--
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The form 990 is reviewed by all members of governing body before it is finalized.”

Form 990, Part VI, Section C, Line 19

“Governing and financial documents are available upon reasonable request.”

Filing and Contact Details

Filer

Filer Name
Psychedelic Research and Training Institute
EIN
84-3307188
Phone
2183406442
Address
2620 EAST PROSPECT ROAD SUITE 190, FORT COLLINS, CO 80525

Signing Officer

Name
Jamie Harvie
Title
Executive Director
Signed
2023-08-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jamie Harvie
Formed
2019
Legal Domicile
Co
Voting Board Members
6
Independent Board Members
5
Employees
0
Volunteers
20

Preparer

Firm
Easy Office Dba Jitasa
Address
1120 S RACKHAM WAY SUITE 300, MERIDIAN, ID 83642
Preparer
Jeremy Cork
Phone
2082874777
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contract service expenses”

Raw XML Appendix394 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
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IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0KETAMINE-ASSISTED PSYCHOTHERAPY TRAINING - PRATI SUCCESSFULLY TRAINED 140 HEALTHCARE PROFESSIONALS IN KETAMINE-ASSISTED PSYCHOTHERAPY. WE WERE EXCITED TO IMPLEMENT A 100% DISCOUNT TO 20 BIPOC AND/OR INDIVIDUALS FACING ECONOMIC HARDSHIP.
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IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt0170610
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FederatedCampaignsAmt00
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IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt02118
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IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt013927
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0178336
IRS990/FeesForServicesOtherGrp/TotalAmt0192263
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
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IRS990/Form8282PropertyDisposedOfInd00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.5
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/PersonNm0JAMIE HARVIE
IRS990/Form990PartVIISectionAGrp/PersonNm1LIA MIX
IRS990/Form990PartVIISectionAGrp/PersonNm2ANDREW WEIL
IRS990/Form990PartVIISectionAGrp/PersonNm3JANIS PHELPS
IRS990/Form990PartVIISectionAGrp/PersonNm4JOE TAFUR
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/TitleTxt0EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02019
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/FundraisingAmt00
IRS990/GainOrLossGrp/OtherAmt00
IRS990/GainOrLossGrp/SecuritiesAmt00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GovernmentGrantsAmt00
IRS990/GrantAmt01000
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt01000
IRS990/GrantsToDomesticOrgsGrp/TotalAmt01000
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0440493
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
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IRS990/InformationTechnologyGrp/TotalAmt089
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IRS990/InsuranceGrp/TotalAmt04146
IRS990/InvestmentExpenseAmt00
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt018
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IRS990/LoanOutstandingInd00
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt08018
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembershipDuesAmt00
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0PRATI IS A NONPROFIT COMMUNITY OF PRACTITIONERS, RESEARCHERS, AND EDUCATORS. THROUGH PSYCHEDELIC MEDICINE, PRATI NURTURES A NEW APPROACH TO MENTAL HEALTH AND ILLUMINATES A PATHWAY FOR INDIVIDUAL AND PLANETARY HEALING. WE DO SO BY EXPANDING PROFESSIONAL CAPACITY FOR TRANSFORMATIONAL CARE, RESTORING A RELATIONAL PARADIGM OF HEALTH AND HEALING, AND CONDUCTING CLINICALLY RELEVANT RESEARCH.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/OtherExpensesGrp/Desc1DUES & SUBSCRIPTIONS
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IRS990/ProgramServiceRevenueGrp/Desc0KETAMINE-ASSISTED OSYCHOTHERAPHY TRAINING
IRS990/ProgramServiceRevenueGrp/Desc1THE BUSINESS OF PSYCHEDELIC MEDICINE
IRS990/ProgramServiceRevenueGrp/Desc2RECONNECTING WITH THE SACRED
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IRS990/ProgSrvcAccomActy2Grp/Desc0THE BUSINESS OF PSYCHEDELIC MEDICINE - PRATI CONTINUES TO PROVIDE A FOUR-DAY ASYNCHRONOUS PROGRAM WHICH DELIVERS PRACTICAL SKILLS TO BUILD AND RUN A PSYCHEDELIC MEDICINE CLINIC.
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IRS990/ProgSrvcAccomActy3Grp/Desc0RECONNECTING WITH THE SACRED - PRATI OFFERS A VARIETY OF EDUCATIONAL PROGRAMMING RESOURCES THAT PROVIDE A FOUNDATION FOR A NEW MINDSET OF RADICAL WHOLENESS. THIS INCLUDES WEBINARS ON CLIMATE CHANGE, COMMUNITY HARM REDUCUCTION, PSYCHEDELICS AND NATURE RELATEDNESS AND OUR POPULAR SUBLINGUAL SESSIONS WEBINAR SERIES ON MUSIC AND TRANSFORMATION. THESE ARE ALL OFFERED AS A FREE RESOURCE TO THE PUBLIC.
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IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0975586
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt00
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IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt0127511
IRS990ScheduleA/SubstantialContributorsTotAmt04711
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt02897
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt064325
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt065000
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt00
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IRS990ScheduleA/TotalSupportAmt0132222
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt00
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS REVIEWED BY ALL MEMBERS OF GOVERNING BODY BEFORE IT IS FINALIZED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GOVERNING AND FINANCIAL DOCUMENTS ARE AVAILABLE UPON REASONABLE REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CONTRACT SERVICE EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part IX, Line 11g
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
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IRS990/StatesWhereCopyOfReturnIsFldCd0CO
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IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalAssetsEOYAmt0185536
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IRS990/TotalContributionsAmt02897
IRS990/TotalEmployeeCnt00
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt063071
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0262045
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IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt08018
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt063019
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0185536
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOtherProgSrvcExpenseAmt00
IRS990/TotalOtherProgSrvcGrantAmt00
IRS990/TotalOtherProgSrvcRevenueAmt00
IRS990/TotalOthProgramServiceRevGrp/ExclusionAmt00
IRS990/TotalOthProgramServiceRevGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt00
IRS990/TotalOthProgramServiceRevGrp/UnrelatedBusinessRevenueAmt00
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IRS990/TotalProgramServiceRevenueAmt0437596
IRS990/TotalReportableCompFromOrgAmt050103
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0437596
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0440493
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt020
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0185536
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt04288
IRS990/TravelGrp/ProgramServicesAmt0512
IRS990/TravelGrp/TotalAmt04800
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02620 EAST PROSPECT ROAD SUITE 190
IRS990/USAddress/CityNm0FORT COLLINS
IRS990/USAddress/StateAbbreviationCd0CO
IRS990/USAddress/ZIPCd080525
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0https://pratigroup.org/
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL2
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/LastSubmissionRqrOOBCd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd011
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd01
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JAMIE HARVIE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-08-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PSYCHEDELIC RESEARCH AND TRAINING INSTITUTE
ReturnHeader/Filer/BusinessNameControlTxt0PSYC
ReturnHeader/Filer/EIN0843307188
ReturnHeader/Filer/PhoneNum02183406442
ReturnHeader/Filer/USAddress/AddressLine1Txt02620 EAST PROSPECT ROAD SUITE 190
ReturnHeader/Filer/USAddress/CityNm0FORT COLLINS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CO
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ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0262176601
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0EASY OFFICE DBA JITASA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01120 S RACKHAM WAY SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MERIDIAN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ID
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd083642
ReturnHeader/PreparerPersonGrp/PhoneNum02082874777
ReturnHeader/PreparerPersonGrp/PreparationDt02023-08-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JEREMY CORK
ReturnHeader/ReturnTs02023-08-22T18:13:37-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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