| Field | Data |
|---|---|
| EIN | 84-2259937 |
| Case Number | EO-2019184-000133 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SURGICAL QUALITY PATIENT SAFETY ORGANIZATION INC |
| Organization’s Mailing Address | 31 POLO DRIVE |
| City | SOUTH BARRINGTON |
| State | IL |
| ZIP | 60010 |
| Accounting period End | 12 |
| Primary contact name | SAPAN DESAI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SAPAN DESAI
PRESIDENT
31 POLO DR
SOUTH BARRINGTON IL 60010
JOHN COSENTINO
VICE PRESIDENT
2337 LAFAYETTE
ARLINGTON HEIGHTS IL 60004
AMY PATEL
SECRETARY
75 ST ALPHONSUS ST APT 611
BOSTON MA 2120
KRISH DESAI
TREASURER
5151 EDLOE ST
HOUSTON TX 77004
| Organization’s website | |
|---|---|
| Organization’s email | SAPAN.DESAI@SURGISPHERE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/19 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H90 - Medical Specialty Research |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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 | SAPAN DESAI |
| Signature Title | PRESIDENT |
| Signature Date | 7/1/19 |
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