FORM 1023-EZ for INTERNATIONAL HEALTH ORGANIZATION

Field Data
EIN 43-3280729
Case Number EO-2018037-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL HEALTH ORGANIZATION
Organization’s Mailing Address 4 CHESTNUT LANE
City HOLBROOK
State MA
ZIP 2343
Accounting period End 12
Primary contact name DR BIKASH VERMA MD DVM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BIKASH VERMA
PRESIDENT
4 CHESTNUT LA NE
HOLBROOK MA 2343

Officer/Director/Trustee Two

JAY JAYASANKAR
BOARD MEMBER
74 COUNTRY DRIVE
WESTON MA 2493

Officer/Director/Trustee Three

LINDA MANCINI
BOARD MEMBER
200 BROOKLINE AVENUE
CHESTNUT HILL MA 2467

Officer/Director/Trustee Four

VIJAY KANDULA
BOARD MEMBER
UNIVERSITY OF UTAH
SALT LAKE CITY UT 84112

Officer/Director/Trustee Five

SUJATA DASGUPTA
TREASURER AND SECRETARY
102 VIOLETWOOD CIRCLE
MARLBORO MA 1752

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/92
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 BIKASH VERMA
Signature Title PRESIDENT
Signature Date 2/4/18

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