FORM 1023-EZ for GREATER BALTIMORE HEALTH IMPROVEMENT INITIATIVE INC

Field Data
EIN 47-5293665
Case Number EO-2015299-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREATER BALTIMORE HEALTH IMPROVEMENT INITIATIVE INC
Organization’s Mailing Address PO BOX 23462
City BALTIMORE
State MD
ZIP 21203-5462
Accounting period End 12
Primary contact name ANGELA WELLS-SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA WELLS-SIMS
PRESIDENT
2301 MADISON AVENUE
BALTIMORE MD 21217-3938

Officer/Director/Trustee Two

EDWARD WALTERS
TREASURER
10301 GRAND CENTRAL AVENUE APT 219
OWINGS MILLS MD 21117-4067

Officer/Director/Trustee Three

ASHANTI WOODS
DIRECTOR
3004 N HILTON STREET
BALTIMORE MD 21216-1927

Officer/Director/Trustee Four

STEPHANIE MADDIN
SECRETARY
3710 GIBBONS AVENUE
BALTIMORE MD 21206-4127

Officer/Director/Trustee Five

BRIAN SIMS
DIRECTOR
2301 MADISON AVENUE
BALTIMORE MD 21217-3938

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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