FORM 1023-EZ for CENIGENT MEDICAL RESEARCH INC

Field Data
EIN 85-4279987
Case Number EO-2021037-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENIGENT MEDICAL RESEARCH INC
Organization’s Mailing Address 100 WILSHIRE BLVD SUITE 700
City SANTA MONICA
State CA
ZIP 90401
Accounting period End 9
Primary contact name LIDA GHADERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIDA GHADERI
CEO, CHAIR OF THE GOVERNING BOARD
10529 VALPARAISO STREET APT 1
SANTA MONICA CA 90034

Officer/Director/Trustee Two

SAEED TABAN
CHIEF FINANCIAL OFFICER, DIRECTOR
15975 RANCH HOUSE ROAD
CHINO HILLS CA 91709

Officer/Director/Trustee Three

HOMA TABRIZI
SECRETARY, DIRECTOR
1437 EUCLID ST APT 2
SANTA MONICA CA 90404

Officer/Director/Trustee Four

MOJGAN RAFAELOFF
DIRECTOR
137 N REXFORD DR
BEVERLY HILLS CA 90210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
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 Yes
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 No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LIDA GHADERI
Signature Title CEO, CHAIR OF THE GOVERNING BOARD
Signature Date 12/17/2020

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