FORM 1023-EZ for PAN THEA INSTITUTE INC

Field Data
EIN 13-4023093
Case Number EO-2019031-000626
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAN THEA INSTITUTE INC
Organization’s Mailing Address 21-48 42ND STREET
City ASTORIA
State NY
ZIP 11105-1404
Accounting period End 12
Primary contact name MERIDITH HOSSFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GOULART
PRESIDENT
21-48 42ND STREET
ASTORIA NY 11105-1404

Officer/Director/Trustee Two

MERIDITH HOSSFIELD
TREASURER
21-48 42ND STREET
ASTORIA NY 11105-1404

Officer/Director/Trustee Three

TERRANCE WARD
SECRETARY
21-48 42ND STREET
ASTORIA NY 11105-1404

Officer/Director/Trustee Four

ALEXANDER PLA
DIRECTOR
21-48 42ND STREET
ASTORIA NY 11105-1404

Officer/Director/Trustee Five

ASCENZA MONTALBANO-PLA
DIRECTOR
21-48 42ND STREET
ASTORIA NY 11105-1404

Organization’s website
Organization’s email TREASURER@PANTHEAFOLK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 MERIDITH HOSSFIELD
Signature Title TREASURER
Signature Date 1/4/19

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