FORM 1023-EZ for ONE HARVARD STREET INSTITUTE OF HEALTH INC

Field Data
EIN 82-2755827
Case Number EO-2019031-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE HARVARD STREET INSTITUTE OF HEALTH INC
Organization’s Mailing Address 1 HARVARD STREET
City BROOKLINE
State MA
ZIP 2445
Accounting period End 12
Primary contact name GONGXIONG WU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GONGXIONG WU
PRESIDENT, DIRECTOR
1 HARVARD STREET
BROOKLINE MA 2445

Officer/Director/Trustee Two

CHUNXIANG ZHANG
TREASURER, DIRECTOR
1 HARVARD STREET
BROOKLINE MA 2445

Officer/Director/Trustee Three

JIULING LI
CLERK
1 HARVARD STREET
BROOKLINE MA 2445

Officer/Director/Trustee Four

SHENGBO SANG
DIRECTOR
1 HARVARD STREET
BROOKLINE MA 2445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/17
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GONGXIONG WU
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/3/19

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