FORM 1023-EZ for SOCIETY FOR IMAGE-GUIDED NEUROINTERVENTIONS

Field Data
EIN 83-0900280
Case Number EO-2018235-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIETY FOR IMAGE-GUIDED NEUROINTERVENTIONS
Organization’s Mailing Address 300 W PRATT STREET
City BALTIMORE
State MD
ZIP 21201
Accounting period End 12
Primary contact name MIROSLAW JANOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIROSLAW JANOWSKI
PRESIDENT
434 RANGE ROAD
TOWSON MD 21204

Officer/Director/Trustee Two

MICHAL ZAWADZKI
VICE PRESIDENT
WARECKA STREET 4/6/44
WARSAW, POLAND

Officer/Director/Trustee Three

PIOTR WALCZAK
TREASURER
606 COVENTRY ROAD
BALTIMORE MD 21286

Officer/Director/Trustee Four

MONICA PEARL
SECRETARY
5416 PURLINGTON WAY
BALTIMORE MD 21212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 Yes
Conducting Activities Outside of United States Yes
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 MIROSLAW JANOWSKI
Signature Title PRESIDENT
Signature Date 8/21/18

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