FORM 1023-EZ for UNLV PUBLIC HEALTH STUDENT ASSOCIATION

Field Data
EIN 84-2771235
Case Number EO-2021120-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNLV PUBLIC HEALTH STUDENT ASSOCIATION
Organization’s Mailing Address 348 ALTO AVEC LN
City HENDERSON
State NV
ZIP 89011
Accounting period End 5
Primary contact name DARIN MAINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARIN MAINS
PRESIDENT
348 ALTO AVEC LN
HENDERSON NV 89011

Organization’s website
Organization’s email UNLVPHSA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2019
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DARIN MAINS
Signature Title PRESIDENT
Signature Date 4/28/2021

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