FORM 1023-EZ for MODERN CARE INTERNATIONAL INC

Field Data
EIN 47-5194888
Case Number EO-2015286-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MODERN CARE INTERNATIONAL INC
Organization’s Mailing Address 212 E LEXINGTON STREET
City BALTIMORE
State MD
ZIP 21202
Accounting period End 12
Primary contact name DOLORES R KELLEY ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK HALI
TRUSTEE
212 E LEXINGTON STREET
BALTIMORE MD 10026

Officer/Director/Trustee Two

ALICIA PRICE
TRUSTEE
257 WEST 117TH STREET 2E
NEW YORK NY 10026

Officer/Director/Trustee Three

MAKDESE KASSA
TRUSTEE
2401 WEST BELVEDERE
BALTIMORE MD 21215

Officer/Director/Trustee Four

JASON OGISTE
TRUSTEE
428 WEST 147TH STREET
NEW YORK NY 10031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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