FORM 1023-EZ for STORK INTERNATIONAL

Field Data
EIN 84-3788840
Case Number EO-2020006-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STORK INTERNATIONAL
Organization’s Mailing Address 8771 SUSQUEHANA STREET
City LORTON
State VA
ZIP 20789
Accounting period End 12
Primary contact name ALLAN A EBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLAN EBERT
REGISTERED AGENT
10705
SILVER SPRING MD 20902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2019
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 ALLAN EBERT
Signature Title REGISTERED AGENT
Signature Date 1/3/2020

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