FORM 1023-EZ for PATIENT CENTERED EDUCATION AND RESEARCH INSTITUTE INCORPORATED
| Field | Data |
|---|---|
| EIN | 46-5600475 |
| Case Number | EO-2015182-000089 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PATIENT CENTERED EDUCATION AND RESEARCH INSTITUTE INCORPORATED |
| Organization’s Mailing Address | 9312 OLD SIX MILE LANE |
| City | LOUISVILLE |
| State | KY |
| ZIP | 40299 |
| Accounting period End | 12 |
| Primary contact name | BRIAN DALY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LINDA LINVILLE
CHAIR
401 SPENCER PARK
LEXINGTON KY 40515
Officer/Director/Trustee Two
VICKIE BLEVINS-BOOTH
SECRETARY
2213 TERRACE WOODS COURT
LEXINGTON KY 40510
Officer/Director/Trustee Three
WILL LANMAN
VICE CHAIR
703 MARQUETTE DRIVE
LOUISVILLE KY 40222
Officer/Director/Trustee Four
DORIS ROSENBAUM
TREASURER
3605 GLOUSTER DRIVE
LEXINGTON KY 40510
Officer/Director/Trustee Five
KIMBERLY THARP-BARRIE
DIRECTOR
505 BUCK BOULEVARD
JEFFERSONVILLE IN 47130
| Organization’s website | HTTP://PATIENT-INSTITUTE.ORG |
|---|---|
| Organization’s email | OFFICE@PATIENT-INSTITUTE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/12/2014 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E05 - Research Institutes and/or Public Policy Analysis |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | |
| Signature Title | |
| Signature Date |
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