FORM 1023-EZ for MEDICAL OASIS CORPORATION

Field Data
EIN 81-2971180
Case Number EO-2019085-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICAL OASIS CORPORATION
Organization’s Mailing Address PO BOX 66351
City ORANGE PARK
State FL
ZIP 32065
Accounting period End 12
Primary contact name CHARLOTTE CLARK-ROWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLOTTE CLARK-ROWE
DIRECTOR
2285 MARSH HAWK LANE
FLEMING ISLAND FL 32003

Officer/Director/Trustee Two

SELENA EDWARDS
ASSISTANT SECREATARY
3144 DOUBLE OAKS DRIVE
JACKSONVILLE FL 32226

Officer/Director/Trustee Three

KENISHA BLOUNT
VICE PRESIDENT
15651 SPOTTED SADDLE CIRCLE
JACKSONVILLE FL 32218

Officer/Director/Trustee Four

ANGELIQUE WHITE
PRESIDENT
7106 LAWNVIEW AVE
CLEVELAND OH 44103

Officer/Director/Trustee Five

AUDREA HEARD
TREASURE
950 MACKINAW STREET
JACKSONVILLE FL 32254

Organization’s website WWW.MEDICALOASIS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 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 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 CHARLOTTE CLARK-ROWE
Signature Title DIRECTOR
Signature Date 3/24/19

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