FORM 1023-EZ for NATIONAL PEDIATRIC NEUROINFLAMMATION ORGANIZATION INC

Field Data
EIN 47-5098603
Case Number EO-2015323-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL PEDIATRIC NEUROINFLAMMATION ORGANIZATION INC
Organization’s Mailing Address 12001 RESEARCH PARKWAY SUITE 236
City ORLANDO
State FL
ZIP 32826
Accounting period End 10
Primary contact name MICHAEL PRANZATELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL PRANZATELLI
PRESIDENT
12001 RESEARCH PARKWAY SUITE 236
ORLANDO FL 32826

Officer/Director/Trustee Two

ELIZABETH TATE
SECRETARY
12001 RESEARCH PARKWAY SUITE 236
ORLANDO FL 32826

Officer/Director/Trustee Three

STEPHEN DEPUTY
DIRECTOR
12001 RESEARCH PARKWAY SUITE 236
ORLANDO FL 32826

Officer/Director/Trustee Four

S ANN JOSEPH
DIRECTOR
12001 RESEARCH PARKWAY SUITE 236
ORLANDO FL 32826

Officer/Director/Trustee Five

JAYNE NESS
DIRECTOR
12001 RESEARCH PARKWAY SUITE 236
ORLANDO FL 32828

Organization’s website
Organization’s email OMSUSA@OMSUSA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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