FORM 1023-EZ for ACCESSIBLE PROSTHETICS INITIATIVE
| Field | Data |
|---|---|
| EIN | 61-1983645 |
| Case Number | EO-2021093-000027 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ACCESSIBLE PROSTHETICS INITIATIVE |
| Organization’s Mailing Address | 2277 SUMMIT ST |
| City | COLUMBUS |
| State | OH |
| ZIP | 43202 |
| Accounting period End | 12 |
| Primary contact name | RAFAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RAFAY KHAN
DIRECTOR- TREASURER
2277 SUMMIT ST
COLUMBUS OH 43202
Officer/Director/Trustee Two
DYLAN BEAM
DIRECTOR- PRESIDENT
734 S MILLVALE AVE APT C1
PITTSBURG PA 15213
Officer/Director/Trustee Three
KEEGAN KALMBACH
DIRECTOR- SECRETARY
594 ELYSE CT
SKYESVILLE MD 21784
Officer/Director/Trustee Four
KAEL DANCIC
DIRECTOR
17465 SW BLANTON ST
BEAVERTON OR 97078
Officer/Director/Trustee Five
AMBER BOLLINGER
DIRECTOR
3351 E 120TH AVE UNIT 31-204
THORNTON CO 80233
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/1/2020 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes 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 | 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 | RAFAY KHAN |
| Signature Title | DIRECTOR- TREASURER |
| Signature Date | 2/26/2021 |
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