FORM 1023-EZ for THE PLASTIC BRONCHITIS FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-4307195 |
| Case Number | EO-2015189-000110 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE PLASTIC BRONCHITIS FOUNDATION |
| Organization’s Mailing Address | 3276 SPIELMAN ROAD |
| City | ADRIAN |
| State | MI |
| ZIP | 49221-9144 |
| Accounting period End | 12 |
| Primary contact name | JOY DUMIRE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JOY DUMIRE
PRESIDENT
3276 SPIELMAN ROAD
ADRIAN MI 49221-9144
Officer/Director/Trustee Two
BRUCE RUBIN
VICE PRESIDENT
1001 E MARSHALL ST PO BOX 980646
RICHMOND VA 23298
Officer/Director/Trustee Three
ANTHONY COUREY
BOARD MEMBER
1500 E MEDICAL CENTER DR
ANN ARBOR MI 48109
Officer/Director/Trustee Four
YOAV DORI
BOARD MEMBER
34TH STREET ANDCIVIC CENTER BOULEVA
PHILADELPHIA PA 19104
Officer/Director/Trustee Five
MAXIUM ITKIN
BOARD MEMBER
3400 SPRUCE ST
PHILADELPHIA PA 19104
| Organization’s website | |
|---|---|
| Organization’s email | JOYDUMIRE@HOTMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/19/2015 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G45 - Lung Disease |
| 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 | 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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