FORM 1023-EZ for PRODUCTIVITY IN HEALTHCARE INC

Field Data
EIN 85-1966822
Case Number EO-2020288-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRODUCTIVITY IN HEALTHCARE INC
Organization’s Mailing Address 7 LEFFERTS COURT
City EAST BRUNSWICK
State NJ
ZIP 08816-3225
Accounting period End 12
Primary contact name MICHAEL GOLDSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GOLDSTEIN
CHIEF EXECUTIVE OFFICER/DIRECTOR
7 LEFFERTS COURT
EAST BRUNSWICK NJ 08816

Officer/Director/Trustee Two

DAVID MARSH
VICE-PRESIDENT/BOARD DIRECTOR
13924 MARQUESAS WAY APT 2319
MARINA DEL REY CA 90292-6019

Officer/Director/Trustee Three

WILLIAM SOUTHARD
BOARD DIRECTOR
180 RIVERSIDE BLVD APT 15U
NEW YORK NY 10069-0811

Organization’s website WWW.PRODHEALTHCARE.ORG
Organization’s email MICHAEL@PRODHEALTHCARE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 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 MICHAEL GOLDSTEIN
Signature Title CHIEF EXECUTIVE OFFICER/DIRECTOR
Signature Date 10/12/2020

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