FORM 1023-EZ for THE THOMAS G TERCILLA NEUROLOGICALRESEARCH FOUNDATION INC

Field Data
EIN 81-1439540
Case Number EO-2019270-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE THOMAS G TERCILLA NEUROLOGICALRESEARCH FOUNDATION INC
Organization’s Mailing Address 1425 PALANCIA AVENUE
City CORAL GABLES
State FL
ZIP 33146
Accounting period End 12
Primary contact name CEVIN TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CEVIN TAYLOR
TREASURER
455 E EISENHOWER PKWY SUITE 355
ANN ARBOR MI 48108

Officer/Director/Trustee Two

PETER DAVIDSON
PRESIDENT AND DIRECTOR
6468 SW 37TH STREET
MIAMI FL 33155

Officer/Director/Trustee Three

MAGGIE TERCILLA
VICE PRESIDENT
1425 PALANCIA AVENUE
CORAL GABLES FL 33146

Officer/Director/Trustee Four

VICTORIA TERCILLA
SECRETARY
1425 PALANCIA AVENUE
CORAL GABLES FL 33146

Officer/Director/Trustee Five

ORLANDO TERCILLA
DIRECTOR
1425 PALANCIA AVENUE
CORAL GABLES FL 33146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G96 - Neurology, Neuroscience
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CEVIN TAYLOR
Signature Title TREASURER
Signature Date 9/25/19
EIN 81-1439540
Case Number EO-2019270-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE THOMAS G TERCILLA NEUROLOGICAL RESEARCH FOUNDATION INC
Organization’s Mailing Address 1425 PALANCIA AVENUE
City CORAL GABLES
State FL
ZIP 33146
Accounting period End 12
Primary contact name CEVIN TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CEVIN TAYLOR
TREASURER
455 E EISENHOWER PKWY SUITE 355
ANN ARBOR MI 48108

Officer/Director/Trustee Two

PETER DAVIDSON
PRESIDENT AND DIRECTOR
6468 SW 37TH STREET
MIAMI FL 33155

Officer/Director/Trustee Three

MAGGIE TERCILLA
VICE PRESIDENT
1425 PALANCIA AVENUE
CORAL GABLES FL 33146

Officer/Director/Trustee Four

VICTORIA TERCILLA
SECRETARY
1425 PALANCIA AVENUE
CORAL GABLES FL 33146

Officer/Director/Trustee Five

ORLANDO TERCILLA
DIRECTOR
1425 PALANCIA AVENUE
CORAL GABLES FL 33146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G96 - Neurology, Neuroscience
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CEVIN TAYLOR
Signature Title TREASURER
Signature Date 9/25/19

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