FORM 1023-EZ for GLOBAL VITILIGO FOUNDATION

Field Data
EIN 81-3950571
Case Number EO-2016358-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLOBAL VITILIGO FOUNDATION
Organization’s Mailing Address 43151 DALCOMA SUITE 1
City CL
State MI
ZIP 48038
Accounting period End 12
Primary contact name KIMBERLY MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ILTEFAT HAMZAVI
PRESIDENT
43151 DALCOMA SUITE 1
CLINTON TWP MI 48038

Officer/Director/Trustee Two

AMIT PAN
TREASURER
303 WEST STATE STREET
GENEVA IL 60134

Officer/Director/Trustee Three

JOHN HARRIS
SECRETARY
303 WEST STATE STREET
GENEVA IL 60134

Officer/Director/Trustee Four

PEARL GRIMES
VICE-PRESIDENT
303 WEST STATE STREET
GENEVA IL 60134

Officer/Director/Trustee Five

HENRY LIM
OFFICER
303 WEST STATE STREET
GENEVA IL 60134

Organization’s website WWW.GLOBALVITILIGOFOUNDATION.ORG
Organization’s email KMILLER@GLOBALVITILIGOFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H90 - Medical Specialty Research
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 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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