FORM 1023-EZ for INTEGRATIVE HEALTHCARE SOLUTIONS INC

Field Data
EIN 84-5031600
Case Number EO-2020076-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRATIVE HEALTHCARE SOLUTIONS INC
Organization’s Mailing Address 6 HENRY CLAY CT
City WEST GREENWICH
State RI
ZIP 02817
Accounting period End 12
Primary contact name CATHERINE DEORSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE DEORSEY
PRESIDENT, DIRECTOR
6 HENRY CLAY CT
WEST GREENWICH RI 02817

Officer/Director/Trustee Two

DANIELLE PHOENIX
SECRETARY, DIRECTOR
108 CLEVELAND ST
WAKEFIELD RI 02879

Officer/Director/Trustee Three

ANDREA PAIVA
TREASURER, DIRECTOR
570 IRON MINE HILL RD
NORTH SMITHFIELD RI 02896

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2020
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 CATHERINE DEORSEY
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/13/2020

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