FORM 1023-EZ for VITAL HEALTHCARE SYSTEMS INC

Field Data
EIN 83-1093116
Case Number EO-2020227-000028
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VITAL HEALTHCARE SYSTEMS INC
Organization’s Mailing Address 914B MAIN STREET
City WALTHAM
State MA
ZIP 02451
Accounting period End 12
Primary contact name NICHOLAS BULEGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS BULEGA
PRESIDENT
914B MAIN STREET
WALTHAM MA 02451

Officer/Director/Trustee Two

NICHOLAS BULEGA
CLERK
914B MAIN STREET
WALTHAM MA 02451

Officer/Director/Trustee Three

NICHOLAS BULEGA
TREASURER
914B MAIN STREET
WALTHAM MA 02451

Officer/Director/Trustee Four

NICHOLAS BULEGA
DIRECTOR
914B MAIN STREET
WALTHAM MA 02451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2018
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 No
Donation of funds Yes
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 NICHOLAS BULEGA
Signature Title DIRECTOR
Signature Date 8/12/2020

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