FORM 1023-EZ for PATIENT ADVOCATE CERTIFICATION BOARD INC
| Field | Data |
|---|---|
| EIN | 81-1366156 |
| Case Number | EO-2016041-000303 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PATIENT ADVOCATE CERTIFICATION BOARD INC |
| Organization’s Mailing Address | 337 3RD ST NW |
| City | CANTON |
| State | OH |
| ZIP | 44702-1711 |
| Accounting period End | 12 |
| Primary contact name | STEVEN OKEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
STEVEN OKEY
PRESIDENT
337 3RD ST NW
CANTON OH 44702-1711
Officer/Director/Trustee Two
JARI HOLLAND BUCK
VICE PRESIDENT
75 N WOODWARD AVE - 8000
TALLAHASSEE FL 32313
Officer/Director/Trustee Three
TRISHA TORREY
SECRETARY
PO BOX 53
BALDWINSVILLE NY 13027
Officer/Director/Trustee Four
KENT DE SPAIN
TREASURER
152 MCCLURE ST
DAYTON OH 45403
Officer/Director/Trustee Five
ANNE LLEWELLYN
DIRECTOR
1876 NW 97TH AVE
PLANTATION FL 33322
| Organization’s website | WWW.PACBOARD.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/3/2015 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| 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 | |
| Signature Title | |
| Signature Date |
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