FORM 1023-EZ for SHWACHMAN DIAMOND SYNDROME RESEARCHFUND

Field Data
EIN 82-0939237
Case Number EO-2017096-000420
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHWACHMAN DIAMOND SYNDROME RESEARCHFUND
Organization’s Mailing Address 21505 W 122ND TERR
City OLATHE
State KS
ZIP 66061-6335
Accounting period End 12
Primary contact name VIRGINIA GROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA GAY
PRESIDENT
21505 W 122ND TERR
OLATHE KS 66061-6335

Officer/Director/Trustee Two

ANDREW SWITZER
TREASURER
21505 W 122ND TERR
OLATHE KS 66061-6335

Officer/Director/Trustee Three

NICHOLAS BLUNT
VICE PRESIDENT AND SECRETARY
21505 W 122ND TERR
OLATHE KS 66061-6335

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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