FORM 1023-EZ for HEALTH DISPARITIES INSTITUTE LTD
| Field | Data |
|---|---|
| EIN | 81-5449158 |
| Case Number | EO-2018045-000096 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEALTH DISPARITIES INSTITUTE LTD |
| Organization’s Mailing Address | 64 HALTER ROAD |
| City | GLENMONT |
| State | NY |
| ZIP | 12077 |
| Accounting period End | 3 |
| Primary contact name | KELLIN ROWLANDS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KELLIN ROWLANDS
CIO
64 HALTER ROAD
GLENMONT NY 12077
Officer/Director/Trustee Two
SYLVIA ROWLANDS
CEO
64 KRUMKILL ROAD
ALBANY NY 12208
Officer/Director/Trustee Three
BRIANNA BRENNAN
COO
997 DELAWARE AVENUE
DELMAR NY 12054
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/25/16 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KELLIN ROWLANDS |
| Signature Title | CIO |
| Signature Date | 2/12/18 |
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