FORM 1023-EZ for PICKERINGTON JUVENILE DIABETES FUNDRAISING ASSOCIATION

Field Data
EIN 81-1728531
Case Number EO-2017104-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PICKERINGTON JUVENILE DIABETES FUNDRAISING ASSOCIATION
Organization’s Mailing Address 1298 NATIONAL RD SW
City ETNA
State OH
ZIP 43062
Accounting period End 12
Primary contact name AGGELICI PUNWANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS DAVIS
PRESIDENT
745 BREVARD CIRCLE
PICKERINGTON OH 43147

Officer/Director/Trustee Two

BRIAN NEUBAUER
VICE-PRESIDENT
8953 INDIAN MOUND RD
PICKERINGTON OH 43147

Officer/Director/Trustee Three

ANGELIKI FLINDERS
SECRETARY
13789 STONEHENGE CIRCLE
PICKERINGTON OH 43147

Officer/Director/Trustee Four

AGGELICI PUNWANI
TREASURER
9050 INDIAN MOUND ROAD
PICKERINGOTN OH 43147

Organization’s website HTTPS://WWW.FACEBOOK.COM/PICKERINGTONT1D/?HC_REF=PAGES_TIMELINE
Organization’s email APUNWANI@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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 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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