FORM 1023-EZ for FOUNDATION FOR CHILDHOOD PANCREATITIS

Field Data
EIN 46-2166541
Case Number EO-2014233-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNDATION FOR CHILDHOOD PANCREATITIS
Organization’s Mailing Address PO BOX 2314
City POULSBO
State WA
ZIP 98370-9169
Accounting period End 12
Primary contact name SHEILA WILLIAMSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHEILA WILLIAMSON
FOUNDER, PRESIDENT
398 NE MAX WILLIAM LOOP
POULSBO WA 98370-9169

Officer/Director/Trustee Two

JENN RICE
VICE PRESIDENT
1406 NORTH 220 WEST
TOOELE UT 84074

Officer/Director/Trustee Three

AMIE LAWSON
SECRETARY
1166 MEADOWCREST DRIVE
WATERFORD MI 48327

Officer/Director/Trustee Four

SRINATH CHINNAKOTLA MD
DIRECTOR
2512 S 7TH STREET THIRD FLOOR
MINNEAPOLIS MN 55454

Officer/Director/Trustee Five

MATTHEW GIEFER MD
DIRECTOR
4800 SAND POINT WAY NE OB 9 620 1
SEATTLE WA 98105

Organization’s website WWW.CHILDHOODPANCREATITIS.ORG
Organization’s email INFO@CHILDHOODPANCREATITIS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
Donation of funds Yes
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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