FORM 1023-EZ for SHENANDOAH MEDICAL FOUNDATION INC

Field Data
EIN 83-4029001
Case Number EO-2019155-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHENANDOAH MEDICAL FOUNDATION INC
Organization’s Mailing Address 6234 S CONGRESS AVE SUITE F1
City LANTANA
State FL
ZIP 33462
Accounting period End 12
Primary contact name JOY FULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOY FULLER
PRESIDENT
6234 S CONGRESS AVE SUITE F1
LANTANA FL 33462

Officer/Director/Trustee Two

LORNA DUNKLEY
SECRETARY
6313 LANSDOWNE CIR
BOYNTON BEACH FL 33472

Officer/Director/Trustee Three

BEVERLY MOWATT
TREASURER
4301 NW 36TH WAY
LAUDERDALE LAKES FL 33309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JOY FULLER
Signature Title PRESIDENT
Signature Date 6/2/19

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