FORM 1023-EZ for JANET S AUSTIN CHRONIC DISEASE FOUNDATION

Field Data
EIN 47-1369844
Case Number EO-2014258-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JANET S AUSTIN CHRONIC DISEASE FOUNDATION
Organization’s Mailing Address 333 PARADISE LAKE LANE
City HOOVER
State AL
ZIP 35244
Accounting period End 12
Primary contact name BENNY PATERNOSTRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANET AUSTIN
DIRECTOR
333 PARADISE LAKE LN
HOOVER AL 35244

Officer/Director/Trustee Two

ELIZABETH MAPLES
DIRECTOR
333 PARADISE LAKE LN
HOOVER AL 35244

Officer/Director/Trustee Three

BRENDA PATERNOSTRO
DIRECTOR
4957 Cahaba Valley Trace
Indian Springs AL 35242

Officer/Director/Trustee Four

DAPHNE KENDRICK
DIRECTOR
333 PARADISE LN
HOOVER AL 35244

Officer/Director/Trustee Five

JANET MALONE
DIRECTOR
333 PARADISE LAKE LN
HOOVER AL 35244

Organization’s website DRJANETAUSTIN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2014
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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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