FORM 1023-EZ for GLOBAL MEDICAL TRAINING AT APPALACHIAN STATE UNIVERSITY

Field Data
EIN 81-5083957
Case Number EO-2017026-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLOBAL MEDICAL TRAINING AT APPALACHIAN STATE UNIVERSITY
Organization’s Mailing Address 207 NEW MARKET CENTER 165
City BOONE
State NC
ZIP 28607
Accounting period End 1
Primary contact name ARLEY RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARLEY RODRIGUEZ
PRESIDENT
207 NEW MARKET CENTER 165
BOONE NC 28607

Officer/Director/Trustee Two

TRISTAN RODRIGUEZ
VICE PRESIDENT
207 NEW MARKET CENTER 165
BOONE NC 28607

Officer/Director/Trustee Three

KJERSTI ANDERSON
SECRETARY
207 NEW MARKET CENTER 165
BOONE NC 28697

Officer/Director/Trustee Four

RILEY SLOOP
TREASURER
207 NEW MARKET CENTER 165
BOONE NC 28607

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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