FORM 1023-EZ for MEDICAL ASSISTANCE SERVING HUMANITY

Field Data
EIN 27-3257803
Case Number EO-2016074-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDICAL ASSISTANCE SERVING HUMANITY
Organization’s Mailing Address 1921 WALDEMERE STREET SUITE 610
City SARASOTA
State FL
ZIP 34239-2913
Accounting period End 12
Primary contact name DAVID SUGAR MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SUGAR
DIRECTOR
1921 WALDEMERE STREET SUITE 610
SARASOTA FL 34239-2913

Officer/Director/Trustee Two

FERNANDO VEGA
DIRECTOR
1921 WALDEMERE STREET SUITE 610
SARASOTA FL 34239-2913

Officer/Director/Trustee Three

GREGORY ABBOTT
DIRECTOR
1921 WALDEMERE STREET SUITE 610
SARASOTA FL 34239-2913

Organization’s website
Organization’s email DSUGAR@DRSUGAR.MD
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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