FORM 1023-EZ for INTEGRATIVE HEALTH RESEARCH AND EVALUATION

Field Data
EIN 47-4084695
Case Number EO-2018302-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRATIVE HEALTH RESEARCH AND EVALUATION
Organization’s Mailing Address PO BOX 4265
City ATLANTA
State GA
ZIP 30302
Accounting period End 12
Primary contact name AYANA PERKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AYANA PERKINS
CEO
2818 GLENLOCKE CIRCLE
ATLANTA GA 30318

Officer/Director/Trustee Two

NILU RIMAL
PRESIDENT/DIRECTOR
3665 S JAY STREET
DENVER CO 80235

Officer/Director/Trustee Three

BILL BENSON
SECRETARY/DIRECTOR
880 GLENWOOD AVENUE APT 3477
ATLANTA GA 30316

Officer/Director/Trustee Four

KIRK HENNY
TREASURER/DIRECTOR
2818 GLENLOCKE CIRCLE
ATLANTA GA 30318

Officer/Director/Trustee Five

ZALIKA PERKINS
COO
4065 MARTIN LUTHER KING JR SW
WASHINGTON DC 20032

Organization’s website IHREVAL.COM
Organization’s email INFO@IHREVAL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/15
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AYANA PERKINS
Signature Title CEO
Signature Date 10/25/18

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