FORM 1023-EZ for SYNERGY BALTIMORE INC

Field Data
EIN 81-4999026
Case Number EO-2017041-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYNERGY BALTIMORE INC
Organization’s Mailing Address 4602 DENVIEW WAY
City RASPEBURG
State MD
ZIP 21206
Accounting period End 12
Primary contact name KARL DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL DOUGLAS
CEO
4602 DENVIEW WAY
RASPEBURG MD 21206

Officer/Director/Trustee Two

TODD CAPEL
TREASURER
4602 DENVIEW WAY
RASPEBURG MD 21206

Officer/Director/Trustee Three

RAYNARD JOHNSON
SECRETARY
4602 DENVIEW WAY
RASPEBURG MD 21206

Organization’s website SYNERGYBALTIMORE.ORG
Organization’s email SYNERGYBMORE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R11 - Single Organization Support
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 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 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
Signature Title
Signature Date

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