FORM 1023-EZ for PHYSICIANS FAMILIES AND FRIENDS INC

Field Data
EIN 84-2362981
Case Number EO-2019231-000528
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHYSICIANS FAMILIES AND FRIENDS INC
Organization’s Mailing Address PO BOX 4521
City BURLINGTON
State VT
ZIP 5406
Accounting period End 12
Primary contact name CHRISTOPHER LEFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE ANTLEY
DIRECTOR, PRESIDENT, TREASURER
PO BOX 4521
BURLINGTON VT 5406

Officer/Director/Trustee Two

JUDY MARGULIES
DIRECTOR, SECRETARY
PO BOX 4521
BURLINGTON VT 5406

Officer/Director/Trustee Three

KIM BLAKE
DIRECTOR
PO BOX 4521
BURLINGTON VT 5406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 CATHERINE ANTLEY
Signature Title DIRECTOR, PRESIDENT, TREASURER
Signature Date 8/16/19

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