FORM 1023-EZ for HEALTHCAREPOL

Field Data
EIN 86-2516239
Case Number EO-2021109-000682
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHCAREPOL
Organization’s Mailing Address 194 MAJOR ROAD
City SOUTH BRUNSWICK
State NJ
ZIP 08852
Accounting period End 12
Primary contact name WAMIA SIDDIQUI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAMIA SIDDIQUI
PRESIDENT
194 MAJOR ROAD
SOUTH BRUNSWICK NJ 08852

Officer/Director/Trustee Two

KATHERINE DINH
SECRETARY
194 MAJOR ROAD
SOUTH BRUNSWICK NJ 08852

Officer/Director/Trustee Three

RUCHITHA ARVAPALLY
TREASURER
194 MAJOR ROAD
SOUTH BRUNSWICK NJ 08852

Organization’s website
Organization’s email INFO@HEALTHCAREPOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WAMIA SIDDIQUI
Signature Title PRESIDENT
Signature Date 4/17/2021

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