| Field | Data |
|---|---|
| EIN | 84-2635772 |
| Case Number | EO-2019220-000224 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BOARD OF MEDICINE |
| Organization’s Mailing Address | 1942 5TH AVE |
| City | PITTSBURGH |
| State | PA |
| ZIP | 15219 |
| Accounting period End | 12 |
| Primary contact name | DAVID RABIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DAVID RABIN
CHAIRPERSON
1936 5TH AVE
PITTSBURGH PA 15219
BEN KELMENDI
VICE CHAIRPERSON
180 LAWRENCE ST
NEW HAVEN CT 6511
ALISON CAMPBELL
TREASURER
21 BRIERBROOK ST
MILTON MA 2186
DAN WALLS
SECRETARY
16083 W PIMA ST
GOODYEAR AZ 85338
PATRICK DRISCOLL
DIRECTOR
401 SHADY AVE STE D107
PITTSBURGH PA 15206
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/19 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H05 - Research Institutes and/or Public Policy Analysis |
| 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 | 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 RABIN |
| Signature Title | CHAIRPERSON |
| Signature Date | 8/6/19 |
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