FORM 1023-EZ for GOLFERS AGAINST PANCREATIC CANCER INC

Field Data
EIN 81-1424789
Case Number EO-2016047-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLFERS AGAINST PANCREATIC CANCER INC
Organization’s Mailing Address C/O DHC 605 THIRD AVE 34 FL
City NEW YORK
State NY
ZIP 10158
Accounting period End 12
Primary contact name MICHELLE PERETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DON MIDDLEBERG
DIRECTOR
188 E 78TH ST APT 16B
NEW YORK NY 10075

Officer/Director/Trustee Two

SANDRA MIDDLEBERG
DIRECTOR
188 E 78TH ST APT 16B
NEW YORK NY 10075

Officer/Director/Trustee Three

JEFFREY CITRON
DIRECTOR
5 ROLLING RIDGE CT
MOUNT KISCO NY 10548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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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