FORM 1023-EZ for RENAL PREVENTION INSTITUTE INC

Field Data
EIN 82-2335942
Case Number EO-2017284-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENAL PREVENTION INSTITUTE INC
Organization’s Mailing Address 17940 NW 27TH AVE
City MIAMI GARDENS
State FL
ZIP 33056
Accounting period End 12
Primary contact name BETTY VERBAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTY VERBAL
PRESIDENT
15142 SW 39TH STREET
DAVIE FL 33331

Officer/Director/Trustee Two

ISAIAH IFEANYI
VICE PRESIDENT
19740 NW 27TH AVE
MIAMI FL 33056

Organization’s website
Organization’s email BVERBAL.LHS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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