FORM 1023-EZ for GLOBAL ALLIANCE FOR MEDICAL INNOVATION

Field Data
EIN 84-3217646
Case Number EO-2019361-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLOBAL ALLIANCE FOR MEDICAL INNOVATION
Organization’s Mailing Address 303 OXCROFT STREET
City CARY
State NC
ZIP 27519
Accounting period End 6
Primary contact name SREEKAR MANTENA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SREEKAR MANTENA
PRESIDENT
303
CARY NC 27519

Officer/Director/Trustee Two

ANUSHKA BHASKAR
TREASURER
34 ARADO RANCHO
SANTA MARGARITA CA 92688

Officer/Director/Trustee Three

JAY CHANDRA
SECRETARY
6239 CLYMER CIRCLE
FORT COLLINS CO 80528

Organization’s website HTTPS://WWW.HARVARDGAMI.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H92 - Biomedicine, Bioengineering Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 SREEKAR MANTENA
Signature Title PRESIDENT
Signature Date 12/24/2019

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