FORM 1023-EZ for THE LEO AND ANNE ALBERT INSTITUTE FOR BLADDER CANCER CARE AND RESEARCH

Field Data
EIN 47-1075307
Case Number EO-2014220-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEO AND ANNE ALBERT INSTITUTE FOR BLADDER CANCER CARE AND RESEARCH
Organization’s Mailing Address 1 FITZWILLIAM PARK
City FARMINGTON
State CT
ZIP 06032-1557
Accounting period End 12
Primary contact name JACKIE CAYNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN TAYLOR
PRESIDENT
1 FITZWILLIAM PARK
FARMINGTON CT 06032-1557

Officer/Director/Trustee Two

JACKIE CAYNON
SECRETARY
7 MELISSA ANN LANE
MATTAPOISETT MA 02739-1078

Officer/Director/Trustee Three

ANNE DIAMOND
TREASURER
263 FARMINGTON AVENUE
FARMINGTON CT 06030-3802

Officer/Director/Trustee Four

CAROLYN RUNOWICZ
DIRECTOR
11200 SW 8TH STREET AHC 2 693
MIAMI FL 33199

Officer/Director/Trustee Five

GENE PRANZO
DIRECTOR
1020 CROSSPOINTE DRIVE
NAPLES FL 34110-0918

Organization’s website WWW.AIBCCR.COM
Organization’s email JCAYNON@CAYNONHEALTHLAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H80 - Specifically Named Diseases Research
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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