FORM 1023-EZ for PARKINSON WELLNESS SUPPORT GROUP OFQUEENS INC

Field Data
EIN 47-2410726
Case Number EO-2015002-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKINSON WELLNESS SUPPORT GROUP OFQUEENS INC
Organization’s Mailing Address 125-10 QUEENS BOULEVARD SUITE 302
City KEW GARDENS
State NY
ZIP 11415
Accounting period End 12
Primary contact name A THOMAS LEVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EUNIDE ALEXANDRE
PRESIDENT AND DIRECTOR
125-10 QUEENS BOULEVARD SUITE 302
KEW GARDENS NY 11415

Officer/Director/Trustee Two

A THOMAS LEVIN
VICE PRESIDENT AND DIRECTOR
990 STEWART AVENUE SUITE 300
GARDEN CITY NY 11530-9194

Officer/Director/Trustee Three

CARL HERR
SECRETARY-TREASURER AND DIRECTOR
125-10 QUEENS BOULEVARD SUITE 302
KEW GARDENS NY 11415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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
Signature Title
Signature Date

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