FORM 1023-EZ for GHANA HEALTH MISSION

Field Data
EIN 46-5343810
Case Number EO-2019092-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GHANA HEALTH MISSION
Organization’s Mailing Address 8050 BECKETT CENTER DRIVE SUITE 325
City WEST CHESTER
State OH
ZIP 45069
Accounting period End 3
Primary contact name JOSEPH WAKLATSI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH WAKLATSI
DIRECTOR
8050 BECKETT CENTER DR SUITE 325
WEST CHESTER OH 45069

Officer/Director/Trustee Two

JAMES MYRES
TRUSTEE
1745 EASTWIND COURT
CINCINNATI OH 45230

Officer/Director/Trustee Three

PAUL GOSIGER
TRUSTEE
2148 GILBERT AVENUE
CINCINNATI OH 45206

Officer/Director/Trustee Four

ROGER THESING
TRUSTEE
11260 CHESTER ROAD 260
CINCINNATI OH 45246

Officer/Director/Trustee Five

PAUL GOSIGER
TRUSTEE
2148 GILBERT AVENUE
CINCINNATI OH 45206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/14
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JOSEPH WAKLATSI
Signature Title DIRECTOR
Signature Date 3/29/19

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