FORM 1023-EZ for BHARDWAJ HEALTH INITIATIVE

Field Data
EIN 81-1117670
Case Number EO-2016028-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BHARDWAJ HEALTH INITIATIVE
Organization’s Mailing Address PO BOX 16413
City MINNEAPOLIS
State MN
ZIP 55416
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF NO 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOY BHARDWAJ
PRESIDENT + DIRECTOR
2754 THOMAS AVE S
MINNEAPOLIS MN 55416

Officer/Director/Trustee Two

SACH BHARDWAJ
TREASURER + DIRECTOR
2754 THOMAS AVE S
MINNEAPOLIS MN 55416

Officer/Director/Trustee Three

KATIE COMER
SECRETARY + DIRECTOR
7921 HARDING AVE SUITE 301
MIAMI BEACH FL 33141

Officer/Director/Trustee Four

KATIE BACHMAN
DIRECTOR
4724 E LAKE HARRIET PKWY
MINNEAPOLIS MN 55419

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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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