FORM 1023-EZ for SOTH FLORIDA TRANSGENDER MEDICAL CONSORTIUM

Field Data
EIN 82-2862843
Case Number EO-2018155-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOTH FLORIDA TRANSGENDER MEDICAL CONSORTIUM
Organization’s Mailing Address 1241 CORDOVA ROAD
City FORT LAUDERDALE
State FL
ZIP 33316
Accounting period End 12
Primary contact name JUDITH REICHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS PIETROGALLO LCSW
PRESIDENT
2056 N DIXIE HIGHWAY
WILTON MANORS FL 33305

Officer/Director/Trustee Two

DR JAMES LOPRESTI PHD
VICE PRESIDENT
2312 WILTON DRIVE
WILTON MANORS FL 33305

Officer/Director/Trustee Three

DR SHERYL ZAYAS DO
SECRETARY TREASURER
12401 OKECHOBEE ROAD
HIALEAH GARENS FL 33018

Officer/Director/Trustee Four

DR ANNA PUGA
BOARD MEMBER
4101 NW 3RD COURT
PLANTATION FL 33317

Officer/Director/Trustee Five

JUDITH REICHMAN
FOUNDER CEO
1241 CORDOVA ROAD
FORT LAUDERDALE FL 33316

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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 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 JUDITH REICHMAN
Signature Title FOUNDER CEO
Signature Date 6/1/18

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