FORM 1023-EZ for SOCIETY FOR PALLIATIVE RADIATION ONCOLOGY INC

Field Data
EIN 85-4330086
Case Number EO-2021097-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIETY FOR PALLIATIVE RADIATION ONCOLOGY INC
Organization’s Mailing Address 3911 N LAKE DR
City SHOREWOOD
State WI
ZIP 53211
Accounting period End 12
Primary contact name CANDICE JOHNSTONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDICE JOHNSTONE
PRESIDENT
3911 N LAKE DR
SHOREWOOD WI 53211

Officer/Director/Trustee Two

EMILY MARTIN
VICE PRESIDENT
21775 ULMUS DR
WOODLAND HILLS CA 91364

Officer/Director/Trustee Three

YOLANDA TSENG
SECRETARY
4809 PULLMAN AVE NE
SEATTLE WA 98105

Officer/Director/Trustee Four

TIMUR MITIN
TREASURER
8320 NW HAWKINS RD
PORTLAND OR 97229

Officer/Director/Trustee Five

TRACY BALBONI
DIRECTOR
17 WIGGLESWORTH ST
ROXBURY CROSSING MA 02120

Organization’s website WWW.SPRO.ORG
Organization’s email ADMIN@SPRO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G03 - 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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CANDICE JOHNSTONE
Signature Title PRESIDENT
Signature Date 3/12/2021

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