FORM 1023-EZ for CHEAP INSULIN FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-2838557 |
| Case Number | EO-2019030-000571 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHEAP INSULIN FOUNDATION |
| Organization’s Mailing Address | 315 W TILDEN ST |
| City | WINTER GARDEN |
| State | FL |
| ZIP | 34787 |
| Accounting period End | 12 |
| Primary contact name | KEITH M PARISELLA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEITH PARISELLA
DIRECTOR & PRESIDENT/CEO
315 W TILDEN ST
WINTER GARDEN FL 34787
Officer/Director/Trustee Two
HAELEE HOLJES
DIRECTOR & SECRETARY
627 MAGNOLIA ST
DUNEDIN FL 34698
Officer/Director/Trustee Three
GAIL ROSEN
DIRECTOR & TREASURER
2032 WASHINGTON VALLEY RD
MARTINSVILLE NJ 8836
Officer/Director/Trustee Four
IRINA SHEA
DIRECTOR
88 W MAIN ST
RAMSEY NJ 7446
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/14/18 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G80 - Specifically Named Diseases |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | 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 | KEITH PARISELLA |
| Signature Title | DIRECTOR & PRESIDENT/CEO |
| Signature Date | 12/25/18 |
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