FORM 1023-EZ for SUSTAINABLE GLOBAL SURGERY

Field Data
EIN 85-1035723
Case Number EO-2020184-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUSTAINABLE GLOBAL SURGERY
Organization’s Mailing Address 280 MOSHER WAY
City PALO ALTO
State CA
ZIP 94304
Accounting period End 12
Primary contact name ROBIN KAMAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN SHAPIRO
DIRECTOR, TREASURER, SECRETARY
280 MOSHER WAY
PALO ALTO CA 94304

Officer/Director/Trustee Two

ROBIN KAMAL
DIRECTOR, PRESIDENT
280 MOSHER WAY
PALO ALTO CA 94304

Organization’s website SUSTAINABLEGLOBALSURGERY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 ROBIN KAMAL
Signature Title DIRECTOR, PRESIDENT
Signature Date 6/29/2020

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