FORM 1023-EZ for INTERNATIONAL SOCIETY FOR AEROSOLSIN MEDICINE INC

Field Data
EIN 85-3309322
Case Number EO-2020297-000553
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL SOCIETY FOR AEROSOLSIN MEDICINE INC
Organization’s Mailing Address 1525 SENECA LANE
City SAN MATEO
State CA
ZIP 94402
Accounting period End 12
Primary contact name JEAN L BATMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANTAL DARQUENNE
PRESIDENT, DIRECTOR
1525 SENECA LANE
SAN MATEO CA 94402

Officer/Director/Trustee Two

ANDREW MARTIN
SECRETARY, DIRECTOR
1525 SENECA LANE
SAN MATEO CA 94402

Officer/Director/Trustee Three

SABINE HAEUSSEMANN
TREASURER. DIRECTOR
1525 SENECA LANE
SAN MATEO CA 94402

Officer/Director/Trustee Four

RAJIV DHAND
DIRECTOR
1525 SENECA LANE
SAN MATEO CA 94402

Officer/Director/Trustee Five

JIM FINK
DIRECTOR
1525 SENECA LANE
SAN MATEO CA 94402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 JIM FINK
Signature Title DIRECTOR
Signature Date 10/20/2020

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