FORM 1023-EZ for STREET MEDICS DALLAS

Field Data
EIN 85-2228793
Case Number EO-2021102-000662
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STREET MEDICS DALLAS
Organization’s Mailing Address 6409 RIDGEMONT DRIVE
City DALLAS
State TX
ZIP 75214-1657
Accounting period End 12
Primary contact name JULIE BLOEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE BLOEM
PRESIDENT
6409 RIDGEMONT DRIVE
DALLAS TX 75214-1657

Officer/Director/Trustee Two

REBECCA DISMUKES
VICE-PRESIDENT
1916 PARKSIDE DRIVE
DENTON TX 76201-0610

Officer/Director/Trustee Three

AMANDA BARUGH
TREASURER
1501 GANO STREET 1B
DALLAS TX 75215-2024

Officer/Director/Trustee Four

SCHUYLER BLACKWOOD
PERSONNEL DIRECTOR
409 POST OAK DRIVE
GRAND PRAIRIE TX 75050-6568

Organization’s website HTTP://DALLAS.STREET-MEDICS.ORG
Organization’s email STREETMEDICSDALLAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2021
Organization Incorporation State TX
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 Yes
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 JULIE BLOEM
Signature Title PRESIDENT
Signature Date 4/1/2021

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