FORM 1023-EZ for UGA DOCTORS WITHOUT BORDERS-MEDECINS SANS FRONTIERES

Field Data
EIN 87-0985169
Case Number EO-2021155-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UGA DOCTORS WITHOUT BORDERS-MEDECINS SANS FRONTIERES
Organization’s Mailing Address 5710 SWIFT CREEK CT
City SUWANEE
State GA
ZIP 30024
Accounting period End 5
Primary contact name SIMRAN KAUR MALHOTRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMRAN MALHOTRA
CHIEF EXECUTIVE OFFICER
5710 SWIFT CREEK CT
SUWANEE GA 30024

Officer/Director/Trustee Two

ISHAN AGGARWAL
CHIEF FINANCIAL OFFICER
3730 SEATON DRIVE
SUWANEE GA 30024

Officer/Director/Trustee Three

ABIGAIL BAUR
CHIEF OPERATING OFFICER
521 BRENNAN LANE
FRANKLIN TN 37067

Officer/Director/Trustee Four

GOURI RAJESH
BOARD OF DIRECTOR
1875 SECRETARIAT GAIT WAY
SUWANEE GA 30605

Officer/Director/Trustee Five

ANNABEL CRIPPEN
BOARD OF DIRECTOR
2005 S MILLEDGE AVE-UNIT 4
ATHENS GA 30605

Organization’s website
Organization’s email UGA@MSFCHAPTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 SIMRAN MALHOTRA
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 6/2/2021

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