FORM 1023-EZ for NORTH AMERICAN SOCIETY OF OBSTETRICMEDICINE

Field Data
EIN 82-3136627
Case Number EO-2018064-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH AMERICAN SOCIETY OF OBSTETRICMEDICINE
Organization’s Mailing Address 148 W RIVER ST STE 1G
City PROVIDENCE
State RI
ZIP 2904
Accounting period End 6
Primary contact name BERNARD A POIRIER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GHADA BOURJEILY
PRESIDENT - DIRECTOR
146 W RIVER ST STE 11C
PROVIDENCE RI 2904

Officer/Director/Trustee Two

NADINE SAUVE
VICE PRESIDENT - DIRECTOR
148 W RIVER ST STE 1G
PROVIDENCE RI 2904

Officer/Director/Trustee Three

MICHAEL CARSON
SECRETARY TREASURER DIRECTOR
1945 RT 33
NEPTUNE NJ 7753

Officer/Director/Trustee Four

COURTNEY BILODEAU
DIRECTOR
146 W RIVER ST
PROVIDENCE RI 2904

Officer/Director/Trustee Five

TABASSUM FIROZ
DIRECTOR
146 W RIVER ST STE 11C
PROVIDENCE RI 2904

Organization’s website NASOM.ORG
Organization’s email INFO@NASOM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/17
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 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 GHADA BOURJEILY
Signature Title PRESIDENT - DIRECTOR
Signature Date 3/2/18

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