FORM 1023-EZ for WORLDWIDE SYRINGOMYELIA TASK FORCEINC

Field Data
EIN 47-1943859
Case Number EO-2015006-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WORLDWIDE SYRINGOMYELIA TASK FORCEINC
Organization’s Mailing Address PO BOX 491975
City LAWRENCEVILLE
State GA
ZIP 30049-0033
Accounting period End 12
Primary contact name ELIZABETH NGUYEN PRESIDENT AND CEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH NGUYEN
PRESIDENT AND CEO
1461 VALLEY TRAIL WAY
LAWRENCEVILLE GA 30043-3658

Officer/Director/Trustee Two

TY NGUYEN
VICE PRESIDENT
1461 VALLEY TRAIL WAY
LAWRENCEVILLE GA 30043-3658

Officer/Director/Trustee Three

JOANNE BOLIVAR
CHAIRPERSON OF THE BOARD
2330 19TH STREET
WEST LINN OR 97068

Officer/Director/Trustee Four

JENNIFER PRICE
VICE CHAIRPERSON OF THE BOARD
11266 NW 10TH PLACE
CORAL SPRINGS FL 33071-5130

Organization’s website WSTFCURE.ORG
Organization’s email WSTFCURE@WSTFCURE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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