| Field | Data |
|---|---|
| EIN | 47-1855927 |
| Case Number | EO-2015202-000243 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PEDIATRIC SPINE FOUNDATION |
| Organization’s Mailing Address | 507 30TH ST |
| City | OCEAN CITY |
| State | NJ |
| ZIP | 08226 |
| Accounting period End | 12 |
| Primary contact name | RANDAL BETZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
RANDAL BETZ
PRESIDENT
507 30TH ST
OCEAN CITY NJ
JANET CERRONE
NA
10 BERWICK LANE
SICKLERVILLE NJ 08081
DONNA KANE
NA
PO BOX59
PERU VT 05152
EFFY ZAK
TREASURER
1 HOLIDAY POND ROAD
JERICHO NY 11753
MARY JANE MULCAHEY
VICE PRESIDENT
1151 SUMNEYTOWN PK
HARLEYSVILLE PA 19438
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/4/2014 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G11 - Single Organization Support |
| Organization’s purpose | Charitable: No 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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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