FORM 1023-EZ for PUBLICHEALTHMAPS

Field Data
EIN 85-2486791
Case Number EO-2020230-000655
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUBLICHEALTHMAPS
Organization’s Mailing Address 1717 N STREET NW SUITE 1
City WASHINGTON
State DC
ZIP 20036
Accounting period End 12
Primary contact name EDWARD VALLEJO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD VALLEJO
DIRECTOR-CHAIR, PRES/CEO, TREASURER
1717 N STREET NW SUITE 1
WASHINGTON DC 20036

Officer/Director/Trustee Two

MELINDA PERERA
DIRECTOR, VICE-PRESIDENT
1717 N STREET NW SUITE 1
WASHINGTON DC 20036

Officer/Director/Trustee Three

CHRISTOPHER ESPIRITU
DIRECTOR, VICE-PRESIDENT
1717 N STREET NW SUITE 1
WASHINGTON DC 20036

Organization’s website WWW.PUBLICHEALTHMAPS.ORG
Organization’s email EDWARD.VALLEJO@PUBLICHEALTHMAPS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2020
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 EDWARD VALLEJO
Signature Title DIRECTOR-CHAIR, PRES/CEO, TREASURER
Signature Date 8/14/2020

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