FORM 1023-EZ for THE CORPORATION FOR THE NATIONAL MATH SCIENCES ALLIANCE

Field Data
EIN 83-4624642
Case Number EO-2019126-000533
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CORPORATION FOR THE NATIONAL MATH SCIENCES ALLIANCE
Organization’s Mailing Address 150 N UNIVERSITY ST
City WEST LAFAYETTE
State IN
ZIP 47907-2067
Accounting period End 6
Primary contact name JONAS BURGETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GOLDBERG
PRESIDENT
150 N UNIVERSITY ST
WEST LAFAYETTE IN 47907-2067

Officer/Director/Trustee Two

PHILIP KUTZKO
SECRETARY
14 MACLEAN HALL
IOWA CITY IA 52242-1419

Officer/Director/Trustee Three

REBECCA LANK
TREASURER
150 N UNIVERSITY ST
WEST LAFAYETTE IN 47907-2067

Officer/Director/Trustee Four

DONALD COLE
DIRECTOR
HUME HALL 323
UNIVERSITY MS 38677-1848

Officer/Director/Trustee Five

HELENA NORONHA
DIRECTOR
18111 NORDHOFF ST-FOB 4333
NORTHRIDGE CA 91330-1

Organization’s website
Organization’s email GOLDBERG@PURDUE.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 DAVID GOLDBERG
Signature Title PRESIDENT
Signature Date 5/3/19

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