FORM 1023-EZ for WALLER INSTITUTE FOR RESEARCH IN RADIOLOGY
| Field | Data |
|---|---|
| EIN | 85-1716244 |
| Case Number | EO-2021113-000370 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WALLER INSTITUTE FOR RESEARCH IN RADIOLOGY |
| Organization’s Mailing Address | 5214 SCHUYLER ST |
| City | PHILADELPHIA |
| State | PA |
| ZIP | 19144 |
| Accounting period End | 12 |
| Primary contact name | JOSEPH WALLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOSEPH WALLER
CHIEF EXECUTIVE OFFICER
SCHUYLER ST 5214
PHILADELPHIA PA 19144
Officer/Director/Trustee Two
JOHN P DEMPSEY
CHIEF FINANCIAL OFFICER
99 LORI DRIVE
SCHENECTADY NY 12309
Officer/Director/Trustee Three
KELDON LIN
PRESIDENT & CHAIR
7098 SORGHUM LANE
CHERRY VALLEY IL 61016
Officer/Director/Trustee Four
ANZE PODLOGAR
VP OF FINANCE
38 UNDINE ROAD
BRIGHTON MA 02135
| Organization’s website | WALLERINSTITUTE.ORG |
|---|---|
| Organization’s email | JWALLER@WALLERINSTITUTE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/4/2020 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H05 - Research Institutes and/or Public Policy Analysis |
| Organization’s purpose | Charitable: Yes 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 | 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 | ANZE PODLOGAR |
| Signature Title | VP OF FINANCE |
| Signature Date | 4/21/2021 |
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