FORM 1023-EZ for NEVADA CHAPTER AMERICAN COLLEGE OFSURGEONS

Field Data
EIN 46-0581529
Case Number EO-2015257-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEVADA CHAPTER AMERICAN COLLEGE OFSURGEONS
Organization’s Mailing Address 4975 N EULA STREET
City LAS VEGAS
State NV
ZIP 89149
Accounting period End 12
Primary contact name CAMILLE W SPENNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNABEL BARBER MD FACS
PRESIDENT
2040 W CHARLESTON BLVD STE 601
LAS VEGAS NV 89102

Officer/Director/Trustee Two

DYLAN CURRY MD FACS
SECRETARY TREASURER
1111 SHADOW LN
LAS VEGAS NV 89102

Officer/Director/Trustee Three

DEBORAH KUHLS MD FACS
VICE PRESIDENT
701 W CHARLESTON BLVD STE 215
LAS VEGAS NV 89102

Officer/Director/Trustee Four

CAMILLE SPENNER
DIRECTOR
4975 N EULA STREET
LAS VEGAS NV 89149

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2012
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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