FORM 1023-EZ for PHYSICAL THERAPY INTERNATIONAL SERVICE FOUNDATION

Field Data
EIN 83-2160044
Case Number EO-2019038-000764
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHYSICAL THERAPY INTERNATIONAL SERVICE FOUNDATION
Organization’s Mailing Address 245 BENNETT AVENUE APT 3B
City NEW YORK
State NY
ZIP 10040
Accounting period End 12
Primary contact name MARIA MUTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA MUTO
BOARD DIRECTOR
245 BENNETT AVENUE APT 3B
NEW YORK NY 10040

Officer/Director/Trustee Two

SNEHA GAZI
BOARD DIRECTOR
712 W 176TH ST APT 3A
NEW YORK NY 10033

Organization’s website WWW.PT-IS.ONLINE
Organization’s email PT.INTERNATIONALSERVICE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: No
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 Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIA MUTO
Signature Title BOARD DIRECTOR
Signature Date 2/2/19

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