FORM 1023-EZ for SIMPLEX SCIENCES

Field Data
EIN 47-4509993
Case Number EO-2019249-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMPLEX SCIENCES
Organization’s Mailing Address 206602
City NEW HAVEN
State CT
ZIP 06520-6602
Accounting period End 9
Primary contact name MAYA OVERTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAYA OVERTON
CHIEF EXECUTIVE OFFICER
395
NEW HAVEN CT 06511

Officer/Director/Trustee Two

GUAN LI
CHIEF FINANCIAL OFFICER
206 ELM STREET 206818
NEW HAVEN CT 06520-6818

Officer/Director/Trustee Three

ELI METZNER
CHIEF SCIENCE OFFICER
206 ELM STREET 201575
NEW HAVEN CT 06520-1575

Officer/Director/Trustee Four

JASPER FEINBERG
CHIEF OPERATING OFFICER
2419 SPAULDING AVE
BERKLEEY CA 94703

Officer/Director/Trustee Five

RONALD BREAKER
ADVISOR
219 PROSPECT ST
NEW HAVEN CT 06511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 GUAN LI
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 9/4/2019

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