FORM 1023-EZ for DIP A STICK FOR DIABETES CORPORATION

Field Data
EIN 47-4632812
Case Number EO-2015236-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIP A STICK FOR DIABETES CORPORATION
Organization’s Mailing Address PO BOX 517
City EAST SETAUKET
State NY
ZIP 11733
Accounting period End 12
Primary contact name ALLISON BEATTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALLISON BEATTY
PRESIDENT
PO BOX 517
EAST SETAUKET NY 11733

Officer/Director/Trustee Two

DR RAMSEY MAKAR
VICE PRESIDENT
PO BOX 517
EAST SETAUKET NY 11733

Officer/Director/Trustee Three

DR JOSEPH TERRARA
DIRECTOR OF ENDOCRINOLOGY
PO BOX 517
EAST SETAUKET NY 11733

Officer/Director/Trustee Four

DR MARK SOLOMON
DIRECTOR OF NEPHROLOGY
PO BOX 517
EAST SETAUKET NY 11733

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 No
One Third Support Gifts Yes
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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