FORM 1023-EZ for OTOLARYNGOLOGY WOMENS LEADERSHIP SOCIETY

Field Data
EIN 83-0817654
Case Number EO-2018163-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTOLARYNGOLOGY WOMENS LEADERSHIP SOCIETY
Organization’s Mailing Address 5801 ROYALE PL
City RIVERSIDE
State CA
ZIP 92506
Accounting period End 12
Primary contact name PRIYA KRISHNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONA ABAZA
CHAIRPERSON
7700 E 6TH AVE
DENVER CO 80230

Officer/Director/Trustee Two

CAROL BRADFORD
VICE CHAIRPERSON
335 KOCH AVE
ANN ARBOR MI 48103

Officer/Director/Trustee Three

PRIYA KRISHNA
SECRETARY
5801 ROYALE PLACE
RIVERSIDE CA 92506

Officer/Director/Trustee Four

RONDA HAMAKER WILLIAMS
TREASURER
9355 COOPER RD
ZIONSVILLE IN 46077

Officer/Director/Trustee Five

SARAH BOWE
DIRECTOR
16318 HIDDEN VIEW ST
SAN ANTONIO TX 78232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 PRIYA KRISHNA
Signature Title SECRETARY
Signature Date 6/10/18

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