FORM 1023-EZ for AMERICAN ASSOCIATION FOR PRECISION MEDICINE

Field Data
EIN 82-0639561
Case Number EO-2017062-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN ASSOCIATION FOR PRECISION MEDICINE
Organization’s Mailing Address 3416 LODGE DRIVE
City BELMONT
State CA
ZIP 94002
Accounting period End 12
Primary contact name PRASUN MISHRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRASUN MISHRA
CEO
3416 LODGE DRIVE
BELMONT CA 94002

Officer/Director/Trustee Two

RITA HUMENIUK
CFO
3416 LODGE DRIVE
BELMONT CA 94002

Officer/Director/Trustee Three

PRAVIN MISHRA
SECRETORY
3416 LODGE DRIVE
BELMONT CA 94002

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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