FORM 1023-EZ for GLOBAL SURGICAL ACCESS FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-4803842 |
| Case Number | EO-2018186-000328 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GLOBAL SURGICAL ACCESS FOUNDATION |
| Organization’s Mailing Address | 103 N BRADDOCK ST |
| City | WINCHESTER |
| State | VA |
| ZIP | 22601 |
| Accounting period End | 12 |
| Primary contact name | JORGE POSADAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMUEL JETT
PRESIDENT
160 CANNERY RIDGE LN
CROSS JUNCTION VA 22625
Officer/Director/Trustee Two
CARLA PEREZ-COLON
SECRETARY
585 OVER RIDGE DR
FREDERICK MA 21703
Officer/Director/Trustee Three
COLE ASAY
CHIEF MEDICAL OFFICER
911 PHEASANT RUN RD
CLINTON IA 52732
Officer/Director/Trustee Four
JORGE POSADAS
TREASURER
934 ARMISTEAD ST
WINCHESTER VA 22601
| Organization’s website | GSAF.NET |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/11/18 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G9B - Surgery |
| 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JORGE POSADAS |
| Signature Title | TREASURER |
| Signature Date | 7/2/18 |
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