FORM 1023-EZ for AMERICAN MEDICAL WOMENS ASSOCIATIONAT INDIANA UNIVERSITY INC

Field Data
EIN 83-4156711
Case Number EO-2019270-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN MEDICAL WOMENS ASSOCIATIONAT INDIANA UNIVERSITY INC
Organization’s Mailing Address PO BOX 3381
City BLOOMINGTON
State IN
ZIP 47402
Accounting period End 5
Primary contact name MIRA PRABHAKAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIRA PRABHAKAR
PRESIDENT
728 E ATWATER AVE APT 1
BLOOMINGTON IN 47401

Officer/Director/Trustee Two

BHUMI PATEL
PRESIDENT
354 S COLLEGE AVE APT 408
BLOOMINGTON IN 47403

Officer/Director/Trustee Three

MADISON HERSCHBERGER
TREASURER, SECRETARY
354 S COLLEGE AVE APT 408
BLOOMINGTON IN 47403

Officer/Director/Trustee Four

YILING DONG
DIRECTOR
2451 E 10TH ST APT 818
BLOOMINGTON IN 47408

Officer/Director/Trustee Five

MADELINE JUSTIS
DIRECTOR
502 S MULLER PARKWAY APT 225
BLOOMINGTON IN 47403

Organization’s website N/A
Organization’s email BOARD@AMWAIU.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIRA PRABHAKAR
Signature Title PRESIDENT
Signature Date 9/25/19

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