FORM 1023-EZ for DESIGN HEALTH SOLUTIONS INC

Field Data
EIN 82-4991968
Case Number EO-2018106-000515
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DESIGN HEALTH SOLUTIONS INC
Organization’s Mailing Address 529 CHATTERTON RD
City LUTHERVILLE
State MD
ZIP 21093
Accounting period End 12
Primary contact name MOHAMMAD GHARIPOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMMAD GHARIPOUR
PRESIDENT
529 CHATTERTON RD
LUTHERVILLE MD 21093

Officer/Director/Trustee Two

AMBER TROUT
SECRETARY
2601 WOODLEY PL NW APT 201
WASHINGTON DC 20008

Officer/Director/Trustee Three

NOOSHIN MIRKHESHTI
TREASURER
529 CHATTERTON RD
LUTHERVILLE MD 21093

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State MD
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 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 MOHAMMAD GHARIPOUR
Signature Title PRESIDENT
Signature Date 4/11/18

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