FORM 1023-EZ for URBAN HEALTH SCIENCE INTIATIVE INC
| Field | Data |
|---|---|
| EIN | 47-1312503 |
| Case Number | EO-2015236-000201 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | URBAN HEALTH SCIENCE INTIATIVE INC |
| Organization’s Mailing Address | 792 DEKALB AVENUE SUITE 3 |
| City | BROOKLYN |
| State | NY |
| ZIP | 11221-1401 |
| Accounting period End | 6 |
| Primary contact name | SADEAQUA SCOTT PHD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
SADEAQUA SCOTT PHD
CEO AND FOUNDER
792 DEKALB AVENUE 1ST FLOOR
BROOKLYN NY 11221-1401
Officer/Director/Trustee Two
GEORGE BESS
FOUNDING MEMBER
41 SOUTH TERRACE AVE
MOUNT VERNON NY 10550-2405
Officer/Director/Trustee Three
SHARON SCOTT
FOUNDING MEMBER
PO BOX 21295
BROOKLYN NY 11202
Officer/Director/Trustee Four
SUSAN TAYLOR
BOARD MEMBER
792 DEKALB AVENUE SUITE 3
BROOKLYN NY 11221-1401
Officer/Director/Trustee Five
DJEHUTY MAAT RA
BOARD CHAIR
792 DEKALB AVENUE SUITE 3
BROOKLYN NY 11221-1401
| Organization’s website | WWW.URBANHEALTHSCIENCE.COM |
|---|---|
| Organization’s email | ADMIN@URBANHEALTHSCIENCE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/11/2014 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | U20 - Science, General |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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