FORM 1023-EZ for LYMPHATIC RESEARCH AND EDUCATION INSTITUTE

Field Data
EIN 46-3460021
Case Number EO-2014254-000604
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYMPHATIC RESEARCH AND EDUCATION INSTITUTE
Organization’s Mailing Address 8753 E BELL ROAD 105
City SCOTTSDALE
State AZ
ZIP 85260
Accounting period End 12
Primary contact name ELLIS M CARTER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN OSSIPINSKY
CEO, TREASURER DIRECTOR
8753 E BELL ROAD 105
SCOTTSDALE AZ 85260

Officer/Director/Trustee Two

EILEEN OSSIPINSKY
SECRETARY DIRECTOR
8753 E BELL ROAD 105
SCOTTSDALE AZ 85260

Officer/Director/Trustee Three

DR PATRICIA HENTHORN
DIRECTOR
8753 E BELL ROAD 105
SCOTTSDALE AZ 85260

Officer/Director/Trustee Four

DR MELANIE DUNN NMD
DIRECTOR
8753 E BELL ROAD 105
SCOTTSDALE AZ 85260

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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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