| Field | Data |
|---|---|
| EIN | 85-1715737 |
| Case Number | EO-2020188-000371 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EMMAUS ROAD MEDICAL DIRECTION |
| Organization’s Mailing Address | 318 LONGHILL RD |
| City | GOODE |
| State | VA |
| ZIP | 24556 |
| Accounting period End | 6 |
| Primary contact name | DUSTIN KING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DUSTIN KING
CO-DIRECTOR
3300 C WEEPING WILLOW DR
LYNCHBURG VA 24501
LAURA POTTER
CO-DIRECTOR
213 WINDY RIDGE DR
LYNCHBURG VA 24503
BEN NEWMAN
OFFICER
318 LONGHILL RD
GOODE VA 24556
TOM FORSBERG
OFFICER
132 BEACON HILL PL
LYNCHBURG VA 24503
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E99 - Health - General and Rehabilitative N.E.C. |
| 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | DUSTIN KING |
| Signature Title | CO-DIRECTOR |
| Signature Date | 7/1/2020 |
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