FORM 1023-EZ for HEALTHCARE ALLIES OF MASSACHUSETTSCORPORATION

Field Data
EIN 84-2155361
Case Number EO-2019176-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHCARE ALLIES OF MASSACHUSETTSCORPORATION
Organization’s Mailing Address 1 CANDY APPLE DR APT B5
City DARTMOUTH
State MA
ZIP 2747
Accounting period End 5
Primary contact name KATHRYN HENSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN HENSHAW
PRESIDENT/ TREASURER/ CLERK
1 CANDY APPLE DR APT B5
DARTMOUTH MA 2747

Officer/Director/Trustee Two

PATRICK SHIPMAN
VICE PRESIDENT
335 S BISCAYNE BVLD APT 2400
MIAMI FL 33131

Officer/Director/Trustee Three

CAROLINA RIVERA
DIRECTOR
15984 SW 100 LANE
MIAMI FL 33196

Officer/Director/Trustee Four

NEHA KOTHA
DIRECTOR
12 TULSA COURT
MONMOUTH JUNCTION NJ 8852

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHRYN HENSHAW
Signature Title PRESIDENT/ TREASURER/ CLERK
Signature Date 6/20/19
EIN 84-2155361
Case Number EO-2019176-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHCARE ALLIES OF MASSACHUSETTS CORPORATION
Organization’s Mailing Address 1 CANDY APPLE DR APT B5
City DARTMOUTH
State MA
ZIP 2747
Accounting period End 5
Primary contact name KATHRYN HENSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN HENSHAW
PRESIDENT/ TREASURER/ CLERK
1 CANDY APPLE DR APT B5
DARTMOUTH MA 2747

Officer/Director/Trustee Two

PATRICK SHIPMAN
VICE PRESIDENT
335 S BISCAYNE BVLD APT 2400
MIAMI FL 33131

Officer/Director/Trustee Three

CAROLINA RIVERA
DIRECTOR
15984 SW 100 LANE
MIAMI FL 33196

Officer/Director/Trustee Four

NEHA KOTHA
DIRECTOR
12 TULSA COURT
MONMOUTH JUNCTION NJ 8852

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHRYN HENSHAW
Signature Title PRESIDENT/ TREASURER/ CLERK
Signature Date 6/20/19

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