FORM 1023-EZ for THE OM CHARITY MEDICAL SOCIAL WORK

Field Data
EIN 83-1551997
Case Number EO-2019063-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE OM CHARITY MEDICAL SOCIAL WORK
Organization’s Mailing Address 2315 40H AVE NE
City COLUMBIA HEIGHTS
State MN
ZIP 55421-4133
Accounting period End 12
Primary contact name NAMGYAL PHURBU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAMGYAL PHURBU
PRESIDENT
2315 40TH AVENUE NORTHEAST
COLUMBIA HEIGHTS MN 55421-4133

Officer/Director/Trustee Two

TENZIN LHANAM
VICE PRESIDENT
3921 SILVER LAKE ROAD NE
ST. ANTHONY MN 55421-4133

Officer/Director/Trustee Three

NAMGYAL TENDOL
SECRETARY
5401 VAN HORN ST
ELMHURST NY 11373-4350

Organization’s website WWW.OMCHARITY.ORG
Organization’s email INFO@OMCHARITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 No
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 Yes
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 NAMGYAL PHURBU
Signature Title PRESIDENT
Signature Date 2/28/19

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