FORM 1023-EZ for THE PATTON & ALLEN CLINICAL STUDIES GROUP INC

Field Data
EIN 85-0653263
Case Number EO-2020192-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PATTON & ALLEN CLINICAL STUDIES GROUP INC
Organization’s Mailing Address 2701 SW 13TH STREET APT D23
City GAINESVILLE
State FL
ZIP 32601
Accounting period End 12
Primary contact name LAVONDA JUANITA PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAVONDA PATTON
PRESIDENT
4230 FAIRWAY DR APT 10101
CARROLITON TX 75010

Officer/Director/Trustee Two

DEJUAN BYRD
VICE PRESIDENT
1844 SAINT LOUIS AVE
EAST SAINT LOUIS IL 62205

Officer/Director/Trustee Three

EMILY BATES
SECRETARY
1601 NW 67TH TERR
KANSAS CITY KS 64118

Officer/Director/Trustee Four

DEBRA HILL
TREASURER
7714 BEARDEN LANE
DALLAS TX 75227

Officer/Director/Trustee Five

VIRGINIA PATTON
BOARD MEMBER
1235 SAINT LOUIS AVE
EAT SAINT LOUIS IL 62201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E02 - Management & Technical Assistance
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 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 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 LAVONDA PATTON
Signature Title PRESIDENT
Signature Date 7/8/2020

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