FORM 1023-EZ for DYRK1A SYNDROME US
| Field | Data |
|---|---|
| EIN | 83-3342162 |
| Case Number | EO-2019081-000515 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DYRK1A SYNDROME US |
| Organization’s Mailing Address | 1745 LORNA LANE |
| City | OTSEGO |
| State | MI |
| ZIP | 49078 |
| Accounting period End | 12 |
| Primary contact name | GEORGE E GILLESPIE JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMY CLUGSTON
DIRECTOR / PRESIDENT
1745 LORNA LANE
OTSEGO MI 49078
Officer/Director/Trustee Two
ADRIANNE APODACA
DIRECTOR / SECRETARY
5283 BELLE STAR DRIVE
COLORADO SPRINGS CO 80922
Officer/Director/Trustee Three
PRISCILLA GUZMAN
DIRECTOR / TREASURER
5283 BELLE STAR DRIVE
EDMOND TX 78542
Officer/Director/Trustee Four
ASHLEY ALLEN
DIRECTOR
3803 RIDGEWOOD DRIVE
FRANKLINTON NC 27525
Officer/Director/Trustee Five
JENNIFER CARFORA
DIRECTOR
147 BELVEDERE DRIVE
HOLLY RIDGE NC 28445
| Organization’s website | WWW.DYRK1A.ORG |
|---|---|
| Organization’s email | DSIA@DYRK1A.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/19 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H20 - Birth Defects, Genetic Diseases Research |
| 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 | Yes |
| 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 | AMY CLUGSTON |
| Signature Title | DIRECTOR / PRESIDENT |
| Signature Date | 3/20/19 |
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