FORM 1023-EZ for HAND SURGERY RESOURCE

Field Data
EIN 85-0996633
Case Number EO-2020135-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAND SURGERY RESOURCE
Organization’s Mailing Address 25 HEALTH SCIENCES DRIVE
City STONY BROOK
State NY
ZIP 11790
Accounting period End 12
Primary contact name KIMBERLY PENDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE HURST
PRESIDENT DIRECTOR
25 HEALTH SCIENCES DRIVE SUITE 215
STONY BROOK NY 11790

Officer/Director/Trustee Two

ALEXANDER DAGUM
VICE PRESIDENT DIRECTOR
UNIVERSITY AT STONY BROOK
STONY BROOK NY 11794

Officer/Director/Trustee Three

LAUREEN MERILL
SECRETARY DIRECTOR
25 HEALTH SCIENCES DRIVE SUITE 215
STONY BROOK NY 11790

Officer/Director/Trustee Four

MEGAN CARMODY
TREASURER DIRECTOR
25 HEALTH SCIENCES DRIVE SUITE 215
STONY BROOK NY 11790

Officer/Director/Trustee Five

MICHAEL HAUSMAN
DIRECTOR
425 W 59TH ST 5TH FLOOR
NEW YORK NY 10019

Organization’s website WWW.HANDSURGERYRESOURCE.COM
Organization’s email LCHURST100@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAWRENCE HURST
Signature Title PRESIDENT DIRECTOR
Signature Date 5/12/2020

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