FORM 1023-EZ for ALLERGY ASTHMA SPECIALISTS EDUCATIONAL FOUNDATION

Field Data
EIN 47-2424711
Case Number EO-2015028-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALLERGY ASTHMA SPECIALISTS EDUCATIONAL FOUNDATION
Organization’s Mailing Address 470 SENTRY PARKWAY EAST SUITE 200
City BLUE BELL
State PA
ZIP 19422
Accounting period End 9
Primary contact name MARIJO WASHBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT ANOLIK
PRESIDENT DIRECTOR
470 SENTRY PARKWAY EAST
BLUE BELL PA 19422

Officer/Director/Trustee Two

MARIJO WASHBURN
TREASURER DIRECTOR
470 SENTRY PKWY EAST STE 200
BLUE BELL PA 19422

Officer/Director/Trustee Three

MATTHEW FOGG
DIRECTOR
470 SENTRY PKWY EAST STE 200
BLUE BELL PA 19422

Officer/Director/Trustee Four

STANLEY FORMAN
DIRECTOR
470 SENTRY PKWY EAST STE 200
BLUE BELL PA 19422

Officer/Director/Trustee Five

EVA JAKABOVICS
DIRECTOR
470 SENTRY PKWY EAST STE 200
BLUE BELL PA 19422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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
Signature Title
Signature Date

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