FORM 1023-EZ for PROTON INTERNATIONAL HEALTH SERVICES INC

Field Data
EIN 85-1057855
Case Number EO-2020139-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROTON INTERNATIONAL HEALTH SERVICES INC
Organization’s Mailing Address 5280 LINTON BLVD
City DELRAY BEACH
State FL
ZIP 33484
Accounting period End 12
Primary contact name DAVID J DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS CHANDLER
DIRECTOR
6003 WILLOW OAK COURT
PROSPECT KY 40053

Officer/Director/Trustee Two

RON GILDEN
DIRECTOR
6491 STEWART ROAD
BARNHAMSVILLE VA 23011

Officer/Director/Trustee Three

BILL DAVIS
DIRECTOR
922 HAWKHORN CT
ALPHARETTA GA 30005

Officer/Director/Trustee Four

DAVID DAVIDSON
COUNSEL
151 NW 1ST AVENUE
DELRAY BEACH FL 33444

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID DAVIDSON
Signature Title COUNSEL
Signature Date 5/15/2020

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