FORM 1023-EZ for MEDICAL STUDENT PRIDE ALLIANCE
| Field | Data |
|---|---|
| EIN | 83-3156909 |
| Case Number | EO-2019248-000181 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDICAL STUDENT PRIDE ALLIANCE |
| Organization’s Mailing Address | 5509 SURREY LANE |
| City | BIRMINGHAM |
| State | AL |
| ZIP | 35242-3331 |
| Accounting period End | 5 |
| Primary contact name | RODRIGO MUNOZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHANA ZUCKER
EXECUTIVE DIRECTOR
204 S SARATOGA ST APT 332
NEW ORLEANS LA 70122-4826
Officer/Director/Trustee Two
RODRIGO MUNOZ
DIRECTOR ORG DEV & ADMIN
1691 VALLEY AVE APT F
HOMEWOOD AL 35209-1223
Officer/Director/Trustee Three
AMELIE MELTZER
DIRECTOR EXTERNAL AFFAIRS
213 EMERSON STREET
PITTSBURGH PA 15206-3903
Officer/Director/Trustee Four
MEGHAMSH KANUPARTHY
DIRECTOR FINANCIAL AFFAIRS
5209 CRAIGS CREEK DRIVE
LOUISVILLE KY 40241-4844
Officer/Director/Trustee Five
MARIJA KAMCEVA
DIRECTOR CAMPUS AFFILIATES
62 HEMLOCK ROAD
LITTLE FALLS NJ 7424-1909
| Organization’s website | WWW.MEDPRIDE.ORG |
|---|---|
| Organization’s email | MSPA@MEDPRIDE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/13/19 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S03 - Professional Societies, Associations |
| 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 | Yes |
| 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 | RODRIGO MUNOZ |
| Signature Title | DIRECTOR ORG DEV & ADMIN |
| Signature Date | 9/3/19 |
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