FORM 1023-EZ for THE HEALTHCARE CLUB INC

Field Data
EIN 84-3104330
Case Number EO-2019333-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HEALTHCARE CLUB INC
Organization’s Mailing Address 120 EAST 23RD ST 4TH FLOOR
City NEW YORK
State NY
ZIP 10010
Accounting period End 12
Primary contact name TIM GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM GORDON
PRESIDENT / DIRECTOR
120 EAST 23RD ST 4TH FLOOR
NEW YORK NY 10010

Officer/Director/Trustee Two

JENN HAJJ
VICE PRESIDENT / DIRECTOR
261 BERRY ST
BROOKLYN NY 11249

Officer/Director/Trustee Three

MATT AXELROD
SECRETARY / DIRECTOR
641 3RD AVE APT 12H
NEW YORK NY 10009

Officer/Director/Trustee Four

ADAM LESSLER
TREASURER / DIRECTOR
220 EAST 65TH ST APT 5K
NEW YORK NY 10065

Organization’s website WWW.HEALTHCARECLUB.IO
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: No
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 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 TIM GORDON
Signature Title PRESIDENT / DIRECTOR
Signature Date 11/27/19

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