FORM 1023-EZ for PROFESSIONAL PATIENT ADVOCATES IN LIFE SCIENCES INC

Field Data
EIN 47-2878879
Case Number EO-2015054-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROFESSIONAL PATIENT ADVOCATES IN LIFE SCIENCES INC
Organization’s Mailing Address 94 HILLANDALE ROAD
City DANBURY
State CT
ZIP 06811-3611
Accounting period End 12
Primary contact name JEAN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEAN CAMPBELL
DIRECTOR
94 HILLANDALE ROAD
DANBURY CT 06811-3611

Officer/Director/Trustee Two

BARBARA WUEBBELS
DIRECTOR
10423 NORTH 42ND PLACE
PHOENIX AZ 85028-4132

Officer/Director/Trustee Three

JAYNE GERSHKOWITZ
DIRECTOR
346 STOCKTON STREET
HIGHTSTOWN NJ 08520-4220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2014
Organization Incorporation State CT
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: 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 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
Signature Title
Signature Date

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