FORM 1023-EZ for EMBARC INC

Field Data
EIN 82-4678721
Case Number EO-2018068-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMBARC INC
Organization’s Mailing Address 2104 PINEY BRANCH CIR APT 531
City HANOVER
State MD
ZIP 21076
Accounting period End 3
Primary contact name SOMTOCHUKWU AGUNWAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOMTOCHUKWU AGUNWAH
DR.
2104 PINEY BRANCH CIR APT 531
HANOVER MD 21076

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 SOMTOCHUKWU AGUNWAH
Signature Title DR.
Signature Date 3/7/18

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