| Field | Data |
|---|---|
| EIN | 82-2831815 |
| Case Number | EO-2017264-000218 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PEDIATRIC HEAD AND NECK SURGICAL SOCIETY |
| Organization’s Mailing Address | BOX 850 800 WASHINGTON ST |
| City | BOSTON |
| State | MA |
| ZIP | 02111 |
| Accounting period End | 12 |
| Primary contact name | JAMES SIDMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
RAJANYA PETERSSON
PRESIDENT
PO BOX 980146
RICHMOND VA 23298
ANDREW SCOTT
VICE PRESIDENT
800 WASHINGTON ST
BOSTON MA 02111
CHRISTOPHER DISCOLO
TREASURER
135 RUTLEDGE AVE
CHARLESTON SC 29425
JON GRISCHKAN
SECRETARY
700 CHILDRENS DRIVE
COLUMBUS OH 43205
JAMES SIDMAN
DIRECTOR
310 HOLLANDER RD
WAYZATA MN 55391
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/19/2017 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G42 - Ear and Throat Diseases |
| 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 | 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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