FORM 1023-EZ for UST MEDICINE 1986 FOUNDATION

Field Data
EIN 81-3893014
Case Number EO-2016293-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UST MEDICINE 1986 FOUNDATION
Organization’s Mailing Address 3226 N UNIVERSITY DR STE 200
City NACOGDOCHES
State TX
ZIP 75965-2698
Accounting period End 12
Primary contact name EDUARDO S TANHUI MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDUARDO TANHUI
PRESIDENT
3226 N UNIVERSITY DR STE 200
NACOGDOCHES TX 75965-2698

Officer/Director/Trustee Two

MARISSA SANTOS
VICE-PRESIDENT
3226 N UNIVERSITY DR STE 200
NACOGDOCHES TX 75965-2698

Officer/Director/Trustee Three

CRISTINA PAMAAR
SECRETARY
3226 N UNIVERSITY DR STE 200
NACOGDOCHES TX 75965-2698

Officer/Director/Trustee Four

SAM SANTIAGO
TREASURER
3226 N UNIVERSITY DR STE 200
NACOGDOCHES TX 75965-2698

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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