| Field | Data |
|---|---|
| EIN | 86-2137598 |
| Case Number | EO-2021097-000011 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHYSICIANS FOR THE PREVENTION OF GUN VIOLENCE |
| Organization’s Mailing Address | 2365 HOLLOW OAK DRIVE |
| City | ANN ARBOR |
| State | MI |
| ZIP | 48103 |
| Accounting period End | 12 |
| Primary contact name | SAMUEL E NUXOLL AUTHORIZED REP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JERRY WALDEN
PRESIDENT AND DIRECTOR
2805 OVERRIDGE DRIVE
ANN ARBOR MI 48104
WALTER WHITEHOUSE
TREASURER AND DIRECTOR
2365 HOLLOW OAK DRIVE
ANN ARBOR MI 48103
ELLEN ARNESON
SECRETARY AND DIRECTOR
2064 GREENVIEW DRIVE
ANN ARBOR MI 48104
SONYA LEWIS
VICE PRESIDENT
1999 CORONADA DRIVE
ANN ARBOR MI 48103
STUART DOMBEY
DIRECTOR
3030 PROVINCIAL DRIVE
ANN ARBOR MI 48104
| Organization’s website | HTTP://WWW.PPGV.ORG |
|---|---|
| Organization’s email | CONTACT@PPGV.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/29/2021 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| 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 | WALTER WHITEHOUSE |
| Signature Title | TREASURER AND DIRECTOR |
| Signature Date | 3/10/2021 |
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