FORM 1023-EZ for PRINT3D PROSTHETICS

Field Data
EIN 87-2602985
Case Number EO-2021271-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRINT3D PROSTHETICS
Organization’s Mailing Address 345 N LA SALLE DRIVE APT 602
City CHICAGO
State IL
ZIP 60654-6341
Accounting period End 12
Primary contact name AMANDA ZHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA ZHU
DIRECTOR
345 N LA SALLE DRIVE APT 602
CHICAGO IL 60654

Officer/Director/Trustee Two

PRIYANKA SENTHIL
DIRECTOR
22315 RUE CANYON CT
KATY TX 77450-7681

Officer/Director/Trustee Three

DENNIS MATTHEW
DIRECTOR
4714 BRADFORD LANE
RENO NV 89519-0938

Officer/Director/Trustee Four

ASHISH KASAR
DIRECTOR
1050 NEVADA STREET APT 111
RENO NV 89503-2937

Officer/Director/Trustee Five

SUNIL MANJILA
DIRECTOR
501 N ROADRUNNER PKWY APT 2302
LAS CRUCES NM 88011-2028

Organization’s website PRINT3DPROSTHETICS.ORG
Organization’s email PRINT3DPROSTHETICS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 No
Signature Name AMANDA ZHU
Signature Title DIRECTOR
Signature Date 9/26/2021

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