| Field | Data |
|---|---|
| EIN | 82-1986544 |
| Case Number | EO-2018155-000546 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MARYLAND TELEHEALTH ALLIANCE INC |
| Organization’s Mailing Address | 4384 CRISFIELD HIGHWAY |
| City | CRISFIELD |
| State | MD |
| ZIP | 21817-2550 |
| Accounting period End | 12 |
| Primary contact name | EMILY WEIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TERESA ZENT
PRESIDENT
6004 HUNT RIDGE ROAD 2631
BALTIMORE MD 21210-1120
HNEAL REYNOLDS
VICE PRESIDENT
12 SEVERN RIVER ROAD
SEVERNA PARK MD 21146-3243
JOHN KORNAK
SECRETARY
107 STEPHANIE COURT
RISING SUN MD 21911-456
KERRY PALAKANIS
TREASURER
30046 BRYAN HALL ROAD
MARION STATION MD 21838-2260
EMILY WEIN
LEGAL OFFICER
5 CEDAR AVENUE
TOWSON MD 21286
| Organization’s website | WWW.MARYLANDTELEHEALTH.ORG |
|---|---|
| Organization’s email | INFO@MARYLANDTELEHEALTH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/27/17 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | Yes |
| 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 | EMILY WEIN |
| Signature Title | LEGAL OFFICER |
| Signature Date | 5/31/18 |
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