FORM 1023-EZ for THE PITUITARY DISEASE FOUNDATION INC

Field Data
EIN 83-0820527
Case Number EO-2018249-000319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PITUITARY DISEASE FOUNDATION INC
Organization’s Mailing Address 14 DALEWOOD LN
City KINGS PARK
State NY
ZIP 11754
Accounting period End 12
Primary contact name JENNIFER J GREENSPAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER GREENSPAN
PRESIDENT
14 DALEWOOD LN
KINGS PARK NY 11754

Officer/Director/Trustee Two

LORETTA MAGNUSSON
DIRECTOR
3 BRYAN MEADOW PTH
FT. SALONGA NY 11768

Officer/Director/Trustee Three

ROBERT WOESSNER
DIRECTOR
7 MONROE ST
SMITHTOWN NY 11754

Officer/Director/Trustee Four

ROBYN REXFORD
DIRECTOR
6 SPRINGMEADOW DR
KINGS PARK NY 11754

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 JENNIFER GREENSPAN
Signature Title PRESIDENT
Signature Date 9/4/18

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