FORM 1023-EZ for PHILIPPINE MEDICAL SOCIETY OF FLORIDA GULF COAST CHAPTER

Field Data
EIN 65-1253195
Case Number EO-2021081-000882
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILIPPINE MEDICAL SOCIETY OF FLORIDA GULF COAST CHAPTER
Organization’s Mailing Address 1905 W BUSCH BLVD
City TAMPA
State FL
ZIP 33612
Accounting period End 12
Primary contact name AILEEN ALVIOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN ALVIOR MD
PRESIDENT
13705 SUN CT
TAMPA FL 33612

Officer/Director/Trustee Two

LEO YASON MD
VICE PRESIDENT
123 EAST HAVEN DR
SPRING HILL FL 34609

Officer/Director/Trustee Three

JOCELYN BUENO MD
SECRETARY
5733 SEA TURTLE PLACE
RUSKIN FL 33573

Officer/Director/Trustee Four

LEON ESPIRITU MD
TREASURER
901 ST ANNES CT
TARPON SPRINGS FL 34688

Officer/Director/Trustee Five

ROSITA TENA MD
PRO
540 SOMERHILL DR NE
ST. PETERSBURG FL 33716

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2005
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name JONATHAN ALVIOR MD
Signature Title PRESIDENT
Signature Date 1/26/2021

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