FORM 1023-EZ for METRO TERM HEALTH INC

Field Data
EIN 81-4140216
Case Number EO-2016309-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name METRO TERM HEALTH INC
Organization’s Mailing Address 30 HAZEL TER SUITE 4
City WOODBRIDGE
State CT
ZIP 06525
Accounting period End 12
Primary contact name NDUBUISI ANDY ASOH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NDUBUISI ANDY ASOH
CHAIRMAN/PRESIDENT
30 HAZEL TER SUITE 4
WOODBRIDGE CT 06525

Officer/Director/Trustee Two

TENNILLE SMALLS
EXECUTIVE DIRECTOR/SECRETARY
42 REVERE STREET
NEW HAVEN CT 06513

Officer/Director/Trustee Three

NKECHI ASOH
CEO/ADMINISTRATOR
21 PORTER STREET
NEW HAVEN CT 06519

Organization’s website WWW.METROTERMHEALTH.ORG
Organization’s email INFO@METROTERMHEALTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P44 - Homemaker, Home Health Aide
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Gaming Activity No
Disaster relief assistance No
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
Signature Title
Signature Date

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