FORM 1023-EZ for RESPIRATORY THERAPIST FOR INTERNATIONAL SUPPORT

Field Data
EIN 83-4131771
Case Number EO-2019203-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESPIRATORY THERAPIST FOR INTERNATIONAL SUPPORT
Organization’s Mailing Address 12209 HUNTERTON ST
City UPPER MARLBORO
State MD
ZIP 20774-1637
Accounting period End 12
Primary contact name MICHAEL BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMON HAILE
PRESIDENT
8234 BROOKTREE ST
LAUREL MD 20724

Officer/Director/Trustee Two

LISA BROWN-HOFF
SECRETARY
1820 GOLDSBOROUGH LN
ODENTON MD 21113

Officer/Director/Trustee Three

YVONNE BROWN
TREASURER
12209 HUNTERTON ST
UPPER MARLBORO MD 20774-1637

Officer/Director/Trustee Four

MICHAEL BROWN
VICE PRESIDENT
12209 HUNTERTON ST
UPPER MARLBORO MD 20774-1637

Officer/Director/Trustee Five

DAVID HARRINGTON
BOARD MEMBER
7717 DEEP FALLS WAY
ELKRIDGE MD 21075

Organization’s website WWW.5LOBES.ORG
Organization’s email RTISEXEC@5LOBES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 No
Donation of funds Yes
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 MICHAEL BROWN
Signature Title VICE PRESIDENT
Signature Date 7/18/19

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