FORM 1023-EZ for CRITICAL HEALTHCARE INFORMATION INTEGRATION NETWORK INC

Field Data
EIN 85-2731695
Case Number EO-2020248-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRITICAL HEALTHCARE INFORMATION INTEGRATION NETWORK INC
Organization’s Mailing Address 82 WENDELL AVENUE STE 100
City PITTSFIELD
State MA
ZIP 01201-7066
Accounting period End 12
Primary contact name FEYISAYO EWEJE - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FEYISAYO EWEJE
PRESIDENT
244 RIVER STREET UNIT 2
CAMBRIDGE MA 02139-4443

Officer/Director/Trustee Two

EBUBE CHUBA
TREASURER
808 W SAN CARLOS ST UNIT 255
SAN JOSE CA 95126-4343

Officer/Director/Trustee Three

FEYISOPE EWEJE
CLERK
2400 CATHARINE ST APT 2
PHILADELPHIA PA 19146-2454

Officer/Director/Trustee Four

FEYISAYO EWEJE
DIRECTOR
244 RIVER STREET UNIT 2
CAMBRIDGE MA 02139-4443

Officer/Director/Trustee Five

DEVIN HOWARD
DIRECTOR
200 DURANT ST APT 204
CHAPEL HILL NC 27517-7352

Organization’s website CHIIN.ORG
Organization’s email CHIINTEAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 Yes
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 FEYISAYO EWEJE
Signature Title DIRECTOR
Signature Date 9/2/2020

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