FORM 1023-EZ for CARDIOVASCULAR HEALTH INITIATIVE INC

Field Data
EIN 82-2468939
Case Number EO-2017228-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARDIOVASCULAR HEALTH INITIATIVE INC
Organization’s Mailing Address 35 ROWE STREET APT 2
City ROSLINDALE
State MA
ZIP 02131
Accounting period End 12
Primary contact name MOUSSA CISSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOUSSA CISSE
PRESIDENT
35 ROWE STREET APT 2
ROSLINDALE MA 02131

Officer/Director/Trustee Two

MARY KYEYUNE
TREASURER
499 BOSTON ROAD UNIT 1104
BILLERICA MA 01821

Officer/Director/Trustee Three

ALISA RAYMOND
CLERK
553 DORCHESTER AVE
BOSTON MA 02127

Officer/Director/Trustee Four

NAFISAT OLUSEKUN
DIRECTOR
43 DUNN ROAD
REVERE MA 02151

Officer/Director/Trustee Five

AZEEZAT LAWAL
DIRECTOR
31 BLAKELY CIRCLE
RANDOLPH MA 02368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
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: 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 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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