FORM 1023-EZ for MEDICAL SUPPLY DRIVE

Field Data
EIN 85-0529203
Case Number EO-2020097-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICAL SUPPLY DRIVE
Organization’s Mailing Address PO BOX 5938
City CHEVY CHASE
State MD
ZIP 20284
Accounting period End 12
Primary contact name DECLAN TANSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEJASVI PEESAY
PRESIDENT, DIRECTOR
PO BOX 5938
CHEVY CHASE MD 20284

Officer/Director/Trustee Two

ADAAH SAYYED
TREASURER, SECRETARY, DIRECTOR
PO BOX 5938
CHEVY CHASE MD 20284

Officer/Director/Trustee Three

HANNAH DAY
CHAIR OF BOARD, DIRECTOR
PO BOX 5938
CHEVY CHASE MD 20284

Officer/Director/Trustee Four

ZUBY SYED
DIRECTOR
PO BOX 5938
CHEVY CHASE MD 20284

Officer/Director/Trustee Five

MELISSA BAKER
DIRECTOR
PO BOX 5938
CHEVY CHASE MD 20284

Organization’s website WWW.MEDICALSUPPLYDRIVE.COM
Organization’s email MEDSUPPLYDRIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2020
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 TEJASVI PEESAY
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/2/2020

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