FORM 1023-EZ for NORTHWEST PENNSYLVANIA CHAPTER OF THE AMERICAN COLLEGE OF SURGEONS

Field Data
EIN 85-2094536
Case Number EO-2020244-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST PENNSYLVANIA CHAPTER OF THE AMERICAN COLLEGE OF SURGEONS
Organization’s Mailing Address 633 N SAINT CLAIR STREET
City CHICAGO
State IL
ZIP 60611
Accounting period End 12
Primary contact name MARTIE LAMANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY ENGLISH
PRESIDENT
260 EDGEWATER CIRCLE
ERIE PA 16509-3786

Officer/Director/Trustee Two

AJAIPAL KANG
VICE PRESIDENT
100 PEACH ST - SUITE 201
ERIE PA 16507-1423

Officer/Director/Trustee Three

PABLO GIUSEPPUCCI
SECRETARY
956 CAMELOT DRIVE
HERMITAGE PA 16148-9100

Officer/Director/Trustee Four

RICHARD FORNELLI
TREASURER
1645 W 8TH STREET - SUITE 200
ERIE PA 16505-5007

Officer/Director/Trustee Five

PAUL MALASPINA
GOVERNOR
300 STATE ST - SUITE 401
ERIE PA 16507-1427

Organization’s website WWW.NWPACHAPTER.FACS.ORG
Organization’s email NWPA@FACS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - 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 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 GREGORY ENGLISH
Signature Title PRESIDENT
Signature Date 8/27/2020

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