FORM 1023-EZ for PROJECT HEALTH AFRICA INC

Field Data
EIN 81-1157080
Case Number EO-2020049-000507
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT HEALTH AFRICA INC
Organization’s Mailing Address 317 DANIELL DRIVE
City GUILDERLAND
State NY
ZIP 12303
Accounting period End 12
Primary contact name DR NOSA AIGBE LEBARTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOSA AIGBE LEBARTY MD
PRESIDENT/FOUNDER
317 DANIELL DRIVE
GUILDERLAND NY 12303

Officer/Director/Trustee Two

MR OKENFE A LEBARTY
VICE PRESIDENT OF COMMUNITY DEVELOP
250 MOUNT VERNON PL
NEWARK NJ 07106

Officer/Director/Trustee Three

MS OSARIEMEN LEBARTY
FINANCIAL COORDINATOR
240 MOUNT VERNON PL
NEWWARK NJ 07106

Officer/Director/Trustee Four

MS SOPHIA EGBELO
SECRETARY AND EVENT COORDINATOR
310 CRANN STREET
HILLSIDE NJ 07205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
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 MR OKENFE A LEBARTY
Signature Title VICE PRESIDENT OF COMMUNITY DEVELOP
Signature Date 2/14/2020

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