FORM 1023-EZ for NATIONAL PREVENTION SCIENCE COALITION TO IMPROVE LIVES

Field Data
EIN 47-2540050
Case Number EO-2015061-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL PREVENTION SCIENCE COALITION TO IMPROVE LIVES
Organization’s Mailing Address 807 EAST ST
City NORTH MANCHESTER
State IN
ZIP 46962-1265
Accounting period End 12
Primary contact name FAITH FULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEIL WOLLMAN
TREASURER
807 EAST ST
NORTH MANCHESTER IN 46962-1265

Officer/Director/Trustee Two

DIANE FISHBEIN
PRESIDENT
2075 SAINT JAMES RD
MARRIOTSVILLE MD 21104-1436

Officer/Director/Trustee Three

SHARON KINGSTON
SECRETARY
BOX 1773 DICKINSON UNIVERSITY
CARLISLE PA 17013

Organization’s website WWW.NPSCOALITION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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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