FORM 1023-EZ for QUALITY HEALTHCARE FOR ALL INC

Field Data
EIN 82-5263189
Case Number EO-2018193-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUALITY HEALTHCARE FOR ALL INC
Organization’s Mailing Address 6958 GRIFFIN RD
City DAVIE
State FL
ZIP 33314
Accounting period End 12
Primary contact name LONNIE HERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LONNIE HERMAN
DIRECTOR/PRESIDENT/TREASURER
1608 SE 2ND CT
FORT LAUDERDALE FL 33301

Officer/Director/Trustee Two

PAULA RIVERA
SECRETARY
1608 SE 2ND CT
FORT LAUDERDALE FL 33301

Officer/Director/Trustee Three

RAJ BANERJEE
DIRECTOR
8342 DELCREST DR UNIT 441
SAINT LOUIS MO 63124

Officer/Director/Trustee Four

ANA ORLOVSKY
DIRECTOR
815 MIDDLE RIVER DR
FORT LAUDERDALE FL 33304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
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 LONNIE HERMAN
Signature Title DIRECTOR/PRESIDENT/TREASURER
Signature Date 7/10/18

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