FORM 1023-EZ for SALPHA HEALTHCARE SERVICES INC

Field Data
EIN 83-2391680
Case Number EO-2019038-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALPHA HEALTHCARE SERVICES INC
Organization’s Mailing Address 2806 TROTTER PARK LANE
City GLENARDEN
State MD
ZIP 20706
Accounting period End 12
Primary contact name BARBARA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAIMUNATU BANGURA
PRESIDENT
2806 TROTTER PARK LANE
GLENARDEN MD 20706

Officer/Director/Trustee Two

BERESFORD DAKIN DAVIS
VICE PRESIDENT
9801 PHEASANT RUN COURT
LAUREL MD 20708

Officer/Director/Trustee Three

IMMURANA SILLA
DIRECTOR
152 HICKORY CORNER ROAD APT 908
EAST WINDSOR NJ 8520

Officer/Director/Trustee Four

MADONNA MONROE
DIRECTOR
13 OAKWOOD TERRACE
MONROE TWP NJ 8831

Officer/Director/Trustee Five

AMINATA CONTEH
DIRECTOR
6884 RIVERDALE ROAD APT 441
LANHAM MD 20706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 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 MAIMUNATU BANGURA
Signature Title PRESIDENT
Signature Date 1/31/19

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