FORM 1023-EZ for EPIPHANY MEDICAL SOLUTIONS INC
| Field | Data |
|---|---|
| EIN | 85-1578742 |
| Case Number | EO-2020195-000488 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EPIPHANY MEDICAL SOLUTIONS INC |
| Organization’s Mailing Address | 14925 FIRST BAPTIST LANE |
| City | LAUREL |
| State | MD |
| ZIP | 20707 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA ASAGUYA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATRICIA ASAGUYA
DIRECTOR
14302 STROUD COURT
LAUREL MD 20707
Officer/Director/Trustee Two
ROSE AMOAH
SECRETARY
9802 KISCONKO RD
FORT WASHINGTON MD 20744
Officer/Director/Trustee Three
MICHELLE AFRIYIE
PRESIDENT
14925 FIRST BAPTIST LANE
LAUREL MD 20707
Officer/Director/Trustee Four
COMFORT AFRIYIE
TREASURER
10246 WILD APPLE CIRCLE
MONTGOMERY VILLAGE MD 20886
Officer/Director/Trustee Five
PATRICK AFRIYIE
BOARD MEMBER
10246 WILD APPLE CIRCLE
MONTGOMERY VILLAGE MD 20886
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/24/2020 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | 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 | MICHELLE AFRIYIE |
| Signature Title | PRESIDENT |
| Signature Date | 7/9/2020 |
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