FORM 1023-EZ for STUDENT NATIONAL MEDICAL ASSOCIATION AT LKSOM

Field Data
EIN 84-3441674
Case Number EO-2020311-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STUDENT NATIONAL MEDICAL ASSOCIATION AT LKSOM
Organization’s Mailing Address 3500 N BROAD ST
City PHILADELPHIA
State PA
ZIP 19140
Accounting period End 12
Primary contact name HOUSTON CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOUSTON CURTIS
CO-PRESIDENT
3500 N BROAD ST
PHILADELPHIA PA 19140

Officer/Director/Trustee Two

EFFIE DEGRAFT-JOHNSON
TREASURER
3500 N BROAD ST
PHILADELPHIA PA 19140

Officer/Director/Trustee Three

VICTOR JEGEDE
CO-PRESIDENT
3500 N BROAD ST
PHILADELPHIA PA 19140

Organization’s website https://temple71.wixsite.com/templesnma
Organization’s email temple@snma.org
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 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 HOUSTON CURTIS
Signature Title CO-PRESIDENT
Signature Date 11/4/2020

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