FORM 1023-EZ for THE SENDERS PEDIATRICS HEALTH INITIATIVE

Field Data
EIN 84-3445539
Case Number EO-2019304-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SENDERS PEDIATRICS HEALTH INITIATIVE
Organization’s Mailing Address 2054 SOUTH GREEN ROAD
City SOUTH EUCLID
State OH
ZIP 44121
Accounting period End 12
Primary contact name ALEXANDER C CAMPBELL ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLY SENDERS MD
PRESIDENT/DIRECTOR
2054 SOUTH GREEN ROAD
SOUTH EUCLID OH 44121

Officer/Director/Trustee Two

KAY HAWN DNP MBA
TREASURER/DIRECTOR
2054 SOUTH GREEN ROAD
SOUTH EUCLID OH 44121

Officer/Director/Trustee Three

JOAN MORGENSTERN
SECRETARY/DIRECTOR
2054 SOUTH GREEN ROAD
SOUTH EUCLID OH 44121

Officer/Director/Trustee Four

TAMARA SENDERS
DIRECTOR
2054 SOUTH GREEN ROAD
SOUTH EUCLID OH 44121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHELLY SENDERS MD
Signature Title PRESIDENT/DIRECTOR
Signature Date 10/29/19

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