FORM 1023-EZ for LATINO MEDICAL STUDENT ASSOCIATIONNORTHEAST

Field Data
EIN 52-1871789
Case Number EO-2015225-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATINO MEDICAL STUDENT ASSOCIATIONNORTHEAST
Organization’s Mailing Address 915
City NEW YORK
State NY
ZIP 10021
Accounting period End 12
Primary contact name FERNANDO ISAZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GRICELDA GOMEZ
CO-DIRECTOR
23 PARKER HILL AVEAPT 1
BOSTON MA 02120

Officer/Director/Trustee Two

CINDY PARRA
CO-DIRECTOR
420 E 70TH STAPT N-1
NEW YORK NY 10021

Officer/Director/Trustee Three

FERNANDO ISAZA
CHIEF FINANCIAL OFFICER
208 N MILLER ST
SHILLINGTON PA 19607

Officer/Director/Trustee Four

SEVA KHAMABADKONE
CO-DIRECTOR ELECT
300 CATHEDRAL STAPT 116
BALTIMORE MD 21201

Officer/Director/Trustee Five

JEANS SANTANA
CO-DIRECTOR ELECT
1063 WHEELER AVE
BRONX NY 10472

Organization’s website LMSA-NE.ORG
Organization’s email CONTACT@LMSA-NE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/1973
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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