FORM 1023-EZ for SAMMC EMERGENCY MEDICINE RESIDENCYALUMNI FUND

Field Data
EIN 83-4391773
Case Number EO-2020080-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMMC EMERGENCY MEDICINE RESIDENCYALUMNI FUND
Organization’s Mailing Address 3551 ROGER BROOKE DR
City SAN ANTONIO
State TX
ZIP 78234
Accounting period End 6
Primary contact name ASHLEY WERBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDYN JANES
OFFICER
3551 ROGER BROOKE DR
SAN ANTONIO TX 78234

Officer/Director/Trustee Two

SHANNON THOMPSON
OFFICER
3551 ROGER BROOKE DR
SAN ANTONIO TX 78234

Officer/Director/Trustee Three

ASHLEY WERBIN
PRESIDENT
3551 ROGER BROOKE DR
SAN ANTONIO TX 78234

Officer/Director/Trustee Four

NORAH SHEMERY
VICE PRESIDENT
3551 ROGER BROOKE DR
SAN ANTONIO TX 78234

Organization’s website
Organization’s email SAMMCED.ALUMNI.FUND@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JORDYN JANES
Signature Title OFFICER
Signature Date 3/18/2020

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