FORM 1023-EZ for NTERNATIONAL SOCIETY FOR CHILDRENSHEALTH AND THE ENVIRONMENT

Field Data
EIN 47-3136992
Case Number EO-2016279-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NTERNATIONAL SOCIETY FOR CHILDRENSHEALTH AND THE ENVIRONMENT
Organization’s Mailing Address 19 FAIR OAKS PARK
City NEEDHAM
State MA
ZIP 02492-3101
Accounting period End 12
Primary contact name DAVID BELLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BELLINGER
PRESIDENT
19 FAIR OAKS PARK
NEEDHAM MA 02492-3101

Officer/Director/Trustee Two

MARK MILLER
VICE-PRESIDENT
BOX 0843 SFGH BUILDING
SAN FRANCISCO CA 94143

Officer/Director/Trustee Three

BRUCE LANPHEAR
SECRETARY-TREASURER
3415 ASH STREET
VANCOUVER BC

Officer/Director/Trustee Four

BRENDA ESKENAZI
COUNCILOR
DIVISION OF EPIDEMIOLOGY
BERKELEY CA 94720-7360

Officer/Director/Trustee Five

SALLY DARNEY
COUNCILOR
KEYSTONE BUILDING 3124 NIEHS
DURHAM NC 27713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2007
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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