FORM 1023-EZ for PUBLIC HEALTH UNITED INC

Field Data
EIN 81-5207627
Case Number EO-2017041-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUBLIC HEALTH UNITED INC
Organization’s Mailing Address 703 S DECKER AVE
City BALTIMORE
State MD
ZIP 21224-3946
Accounting period End 12
Primary contact name NINA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA MARTIN
INCORPORATOR, CEO
703 S DECKER AVE
BALTIMORE MD 21224-3946

Officer/Director/Trustee Two

STEPHEN GOLDSTEIN
PRESIDENT
244 S 45TH ST APT 2B
PHILADELPHIA PA 19104-3597

Officer/Director/Trustee Three

KENNETH SHATZKES
VICE PRESIDENT
266 22ND ST APT 2D
BROOKLYN NY 11215-6547

Officer/Director/Trustee Four

ASHLEY NELSON
TREASURER
19 GLENDOWER CT APT F
ROSEDALE MD 21237-3615

Officer/Director/Trustee Five

BENJAMIN BLUMBERG
SECRETARY
703 S DECKER AVE
BALTIMORE MD 21224-3946

Organization’s website WWW.PUBLICHEALTHUNITED.ORG
Organization’s email NINA@PUBLICHEALTHUNITED.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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
Signature Title
Signature Date

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