| Field | Data |
|---|---|
| EIN | 26-2525426 |
| Case Number | EO-2014329-000191 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PHILADELPHIA PHYSICIANS FOR STUDENTATHLETES INC DBA ATHLETE HEALT |
| Organization’s Mailing Address | 108 FISHER ROAD |
| City | JENKINTOWN |
| State | PA |
| ZIP | 19046 |
| Accounting period End | 12 |
| Primary contact name | DAVID SHIPON PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
DAVID SHIPON
PRESIDENT
2422 S BROAD STREET
PHILADELPHIA PA 19145
JEREMY CLOSE
VICE PRESIDENT
712 LOMBARD STREET
PHILADELPHIA PA 19147
MITCHELL BUDMAN
TREASURER AND CO-FOUNDER
3333 SOUTH 3RD STREET
PHILADELPHIA PA 19148
SANDY FASOLD
ADMINISTRATIVE SERVICES/SECRETARY
PO BOX 504
FT WASHINGTON PA 19034
JERRY STEINGARD
DIRECTOR/CO-FOUNDER
415 BAINBRIDGE STREET
PHILADELPHIA PA 19147
| Organization’s website | WWW.ATHLETEHEALTH.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/5/2008 |
| Organization Incorporation State | PA |
| 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: No Scientific: No Literary: No Public Safety: Yes 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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