FORM 1023-EZ for UNITED HEMOPHILIA FOUNDATION INC

Field Data
EIN 81-3826935
Case Number EO-2016263-000517
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED HEMOPHILIA FOUNDATION INC
Organization’s Mailing Address 12138 CENTRAL AVENUE
City MITCHELLVILLE
State MD
ZIP 20721
Accounting period End 12
Primary contact name CARLETHA GATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLETHA GATES
PRESIDENT
12138 CENTRAL AVENUE
MITCHELLVILLE MD 20721

Officer/Director/Trustee Two

SHONNA JAMES
VICE PRESIDENT
12138 CENTRAL AVENUE
MITCHELLVILLE MD 20721

Officer/Director/Trustee Three

HARVEY GATES
SECRETARY/TREASURER
12318 CENTRAL AVENUE
MITCHELLVILLE MD 20721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 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
Signature Title
Signature Date

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