FORM 1023-EZ for NATIONAL BOARD OF PHYSICIANS AND SURGEONS
| Field | Data |
|---|---|
| EIN | 47-2408605 |
| Case Number | EO-2014332-000190 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NATIONAL BOARD OF PHYSICIANS AND SURGEONS |
| Organization’s Mailing Address | 1515 COAST WALK |
| City | LA JOLLA |
| State | CA |
| ZIP | 92037 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM MOORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
PAUL TEIRSTEIN
BOARD CHAIRMAN
1515 COAST WALK
LA JOLLA CA 92037
Officer/Director/Trustee Two
GREG STONE
BOARD MEMBER
111 EAST 49TH ST - 11TH FLOOR
NEW YORK NY 10022
Officer/Director/Trustee Three
ERIC TOPOL
BOARD MEMBER
10660 NORTH TORREY PINES RD
LA JOLLA CA 92037
Officer/Director/Trustee Four
WILLIAM MOORE
CHIEF LEGAL OFFICER
4288 CALLE MAR DE BALLENAS
SAN DIEGO CA 91230
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/7/2014 |
| Organization Incorporation State | CA |
| 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: 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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