FORM 1023-EZ for UROLOGICAL RESEARCH NETWORK FOUNDATION

Field Data
EIN 86-3560723
Case Number EO-2021123-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UROLOGICAL RESEARCH NETWORK FOUNDATION
Organization’s Mailing Address 2140 WEST 68TH ST STE 200
City HIALEAH
State FL
ZIP 33016-5406
Accounting period End 12
Primary contact name NESTOR L GUILLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ISABEL LOPEZ
PRESIDENT
2140 WEST 68TH ST STE 200
HIALEAH FL 33016-5406

Officer/Director/Trustee Two

ALESSI BIANCO
SECRETARY
2140 WEST 68TH ST STE 200
HIALEAH FL 33016-5406

Officer/Director/Trustee Three

FERNANDO BIANCO
TREASURER
2140 WEST 68TH ST STE 200
HIALEAH FL 33016-5406

Officer/Director/Trustee Four

EDWARD GHEILER
DIRECTOR
2140 WEST 68TH ST STE 200
HIALEAH FL 33016-5406

Officer/Director/Trustee Five

ARIEL KAUFMAN
DIRECTOR
2140 WEST 68TH ST STE 200
HIALEAH FL 33016-5406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H90 - Medical Specialty Research
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
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 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 ISABEL LOPEZ
Signature Title PRESIDENT
Signature Date 4/30/2021

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