FORM 1023-EZ for UNIQUE FITNESS AND HEALTH FOUNDATION

Field Data
EIN 26-4214556
Case Number EO-2018250-000462
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIQUE FITNESS AND HEALTH FOUNDATION
Organization’s Mailing Address 304 TAYLOR AVE
City CATONSVILLE
State MD
ZIP 21228
Accounting period End 12
Primary contact name NAFESAH ABDUL-JABBAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAFESAH ABDUL-JABBAR
PRESIDENT/CEO
304 TAYLOR AVE
CATONSVILLE MD 21228

Officer/Director/Trustee Two

TANA WILSON
VICE PRESIDENT
2921 GWYNNS FALLS PKWY
BALTIMORE MD 21216

Officer/Director/Trustee Three

CAROLYN TOWNSEND
SECRETARY
1514 PENTWOOD RD
BALTIMORE MD 21239

Officer/Director/Trustee Four

MICHAEL TAYLOR
OFFICER
2900 O ST SE
WASHINGTON DC 20020

Officer/Director/Trustee Five

KIM GRADY
TREASURER
4 CHUDLEIGH COURT
PIKESVILLE MD 21208

Organization’s website
Organization’s email UNIQUEFITNESSHEALTHFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 Yes
Donation of funds Yes
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 NAFESAH ABDUL-JABBAR
Signature Title PRESIDENT/CEO
Signature Date 9/5/18

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