FORM 1023-EZ for NATIONAL INSTITUTE FOR SCIENTIFIC AND MEDICAL ADVANCEMENT INC

Field Data
EIN 46-4538749
Case Number EO-2014342-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL INSTITUTE FOR SCIENTIFIC AND MEDICAL ADVANCEMENT INC
Organization’s Mailing Address P O BOX 292466
City TAMPA
State FL
ZIP 33687
Accounting period End 12
Primary contact name HAMISU SALIHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAMISU SALIHU
PRESIDENT
7903 TERRACE RIDGE DR
TEMPLE TERRACE FL 33637

Officer/Director/Trustee Two

RONEE WILSON
EXECUTIVE DIRECTOR
34506 CLIFFCREEK CT
WESLEY CHAPEL FL 33545

Officer/Director/Trustee Three

ALFRED MBAH
DIRECTOR
9417 LISBON ST
SEFFNER FL 33584

Officer/Director/Trustee Four

P AMINA ALIO
DIRECTOR
2625 CRITTENDEN BLVD
ROCHESTER NY 14642

Officer/Director/Trustee Five

LINDSEY KING
DIRECTOR
P O BOX 292466
TAMPA FL 33687

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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