FORM 1023-EZ for GLOBAL THROMBOSIS FORUM INC

Field Data
EIN 84-4634050
Case Number EO-2020043-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLOBAL THROMBOSIS FORUM INC
Organization’s Mailing Address 1430 WAVERLY GLEN DR
City ALPHARETTA
State GA
ZIP 30004
Accounting period End 12
Primary contact name SURESH SANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ATUL LADDU
PRESIDENT & CEO
847 VILLAGE MANOR PLACE
SUWANEE GA 30024

Officer/Director/Trustee Two

ARCHANA ATHALYE
VICE PRESIDENT
4930 TIDEWATER WAY
ALPHARETTA GA 30005

Officer/Director/Trustee Three

SURESH SANE
TREASURER
1430 WAVERLY GLEN DRIVE
ALPHARETTA GA 30004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2020
Organization Incorporation State GA
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: No
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 ATUL LADDU
Signature Title PRESIDENT & CEO
Signature Date 2/10/2020

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