FORM 1023-EZ for HUMAN SERVICES RESEARCH TECHNOLOGYINSTITUTE INC

Field Data
EIN 82-4651449
Case Number EO-2018066-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMAN SERVICES RESEARCH TECHNOLOGYINSTITUTE INC
Organization’s Mailing Address 757 VESTAL STREET
City WOODBRIDGE
State VA
ZIP 22191
Accounting period End 12
Primary contact name WILLIAM B SHEFFEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM SHEFFEL
PRESIDENT
757 VESTAL STREET
WOODBRIDGE VA 22191-5439

Officer/Director/Trustee Two

KEITH MOREHOUSE
DIRECTOR
5537 FOREST GREEN
TOLEDO OH 43615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM SHEFFEL
Signature Title PRESIDENT
Signature Date 3/5/18

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