FORM 1023-EZ for UROLOGIC ONCOLOGY RESEARCH ALLIANCE

Field Data
EIN 47-3499689
Case Number EO-2015089-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UROLOGIC ONCOLOGY RESEARCH ALLIANCE
Organization’s Mailing Address 1161 21ST AVENUE SOUTH MCN A-1302
City NASHVILLE
State TN
ZIP 37232
Accounting period End 12
Primary contact name KELVIN A MOSES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELVIN MOSES
PRESIDENT
1161 21ST AVENUE SOUTH MCN A-1302
NASHVILLE TN 37232

Officer/Director/Trustee Two

WILLIAM LOWRANCE
VICE-PRESIDENT
1950 CIRCLE OF HOPE
SALT LAKE CITY UT 84112

Officer/Director/Trustee Three

MATTHEW KAAG
RESEARCH COORDINATOR
500 UNIVERSITY DR UPC II SUITE 31
HERSHEY PA 17033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 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
Signature Title
Signature Date

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