FORM 1023-EZ for ASSOCIATION OF PULMONARY ADVANCED PRACTICE PROVIDERS
| Field | Data |
|---|---|
| EIN | 82-4826463 |
| Case Number | EO-2018078-000599 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ASSOCIATION OF PULMONARY ADVANCED PRACTICE PROVIDERS |
| Organization’s Mailing Address | 2222 N NEVADA AVE STE 4004 |
| City | COLORADO SPGS |
| State | CO |
| ZIP | 80907 |
| Accounting period End | 12 |
| Primary contact name | RUTH LAVIGNE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CORINNE YOUNG
FOUNDER/PRESIDENT
5980 GOOD FORTUNE RD
PEYTON CO 80831
Officer/Director/Trustee Two
GREG MCCLELLAND
DIRECTOR
308 KING EIDER LANE
CEDAR PARK TX 78613
Officer/Director/Trustee Three
JACKIE PFEIFER
DIRECTOR
1000 N OAK AVE 2F1
MARSHFIELD WI 54449
Officer/Director/Trustee Four
AMY CARLSON
DIRECTOR
2055 W HOSPITAL DR STE 205
TUCSON AZ 85704
Officer/Director/Trustee Five
KIMBERLY GRANT
DIRECTOR
1650 NORTH MILLS AVE 121
ORLANDO FL 32803
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/16/18 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | CORINNE YOUNG |
| Signature Title | FOUNDER/PRESIDENT |
| Signature Date | 3/17/18 |
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