FORM 1023-EZ for WOMEN AND MEN AGAINST PROSTATE CANCER INC

Field Data
EIN 81-2073676
Case Number EO-2016294-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOMEN AND MEN AGAINST PROSTATE CANCER INC
Organization’s Mailing Address 1555 SUNRISE HIGHWAY SUITE 8
City BAY SHORE
State NY
ZIP 11706
Accounting period End 12
Primary contact name LISA M PACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORRAINE PACE
CO PRESIDENT
1555 SUNRISE HIGHWAY SUITE 8
BAY SHORE NY 11706

Officer/Director/Trustee Two

SANDEEP AILAWADI
CO PRESIDENT
1555 SUNRISE HIGHWAY SUITE 8
BAY SHORE NY 11706

Officer/Director/Trustee Three

DOMINICK MAVELLIA
VICE PRESIDENT
1555 SUNRISE HIGWAY SUITE 8
BAY SHORE NY 11706

Officer/Director/Trustee Four

WENDY KHOKHAR
TREASURER
1555 SUNRISE HIGHWAY SUITE 8
BAY SHORE NY 11706

Officer/Director/Trustee Five

CRYSTAL DICIOCCIO
SECRATARY
1555 SUNRISE HIGHWAY SUITE 8
BAY SHORE NY 11706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
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 Yes
One Third Support Gifts No
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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