FORM 1023-EZ for PEDIATRICS INTEREST GROUP

Field Data
EIN 83-4115352
Case Number EO-2020098-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEDIATRICS INTEREST GROUP
Organization’s Mailing Address 226 2ND ST SW
City ROCHESTER
State MN
ZIP 55905
Accounting period End 4
Primary contact name RUBY SIADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUBY SIADA
PRESIDENT
APT 202
ROCHESTER MN 55902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 RUBY SIADA
Signature Title PRESIDENT
Signature Date 4/3/2020

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