FORM 1023-EZ for PHARMACOGENOMICS RESEARCH NETWORK INC
| Field | Data |
|---|---|
| EIN | 84-4444433 |
| Case Number | EO-2020062-000591 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHARMACOGENOMICS RESEARCH NETWORK INC |
| Organization’s Mailing Address | 9037 RON DEN LANE |
| City | WINDERMERE |
| State | FL |
| ZIP | 34786-8328 |
| Accounting period End | 12 |
| Primary contact name | SHEILAH JEWART |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KATHY GIACOMINI
PRESIDENT
UNIVERSITY OF CALIFORNIA
SAN FRANCISCO CA 94143-2324
Officer/Director/Trustee Two
ANDREW MONTE
VICE PRESIDENT
UNIVERSITY OF COLORADO
AURORA CO 80045
Officer/Director/Trustee Three
RONALD KRAUSS
TREASURER
UNIVERSITY OF CALIFORNIA
SAN FRANCISCO CA 94143-2324
Officer/Director/Trustee Four
DANIEL RODEN
SECRETARY
VANDERBILT UNIVERSITY
NASHVILLE TN 80045
Officer/Director/Trustee Five
MARY RELLING
COUNCILOR
ST JUDES CHILDRENS HOSPITAL
MEMPHIS TN 38105-3678
| Organization’s website | WWW.PGRN.ORG |
|---|---|
| Organization’s email | INFO@PGRN.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/21/2020 |
| Organization Incorporation State | FL |
| 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: 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | RONALD KRAUSS |
| Signature Title | TREASURER |
| Signature Date | 2/29/2020 |
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