FORM 1023-EZ for MEDCYCLE FOR MALI INC

Field Data
EIN 47-4974095
Case Number EO-2015251-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDCYCLE FOR MALI INC
Organization’s Mailing Address 320 TIVIDALE COURT
City ALPHARETTA
State GA
ZIP 30022-3710
Accounting period End 12
Primary contact name JOHN HERRING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN HERRING
PRESIDENT
320 TIVIDALE COURT
ALPHARETTA GA 30022-3710

Officer/Director/Trustee Two

ELIZABETH HERRING
SECRETARY
320 TIVIDALE COURT
ALPHARETTA GA 30022-3710

Officer/Director/Trustee Three

DANIEL KIM
DIRECTOR
4 FIDELIAN WAY
TOWACO NJ 07082

Officer/Director/Trustee Four

BRENDON LEE
DIRECTOR
5015 HASTINGS TERRACE
ALPHARETTA GA 30005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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 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
Signature Title
Signature Date

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