| Field | Data |
|---|---|
| EIN | 85-2480380 |
| Case Number | EO-2020227-000083 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDICAL PRIVACY ASSOCIATION |
| Organization’s Mailing Address | 520 N VENTU PARK RD STE 190 |
| City | NEWBURY PARK |
| State | CA |
| ZIP | 91320 |
| Accounting period End | 8 |
| Primary contact name | TZEIMS RISK-KOUTSOUKOS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JAMES KOUTSOUKOS
PRESIDENT
GENERAL DELIVERY
THOUSAND OAKS CA 91320
JUDE GREEN
TRESURER
402 CHERRY HILLS COURT
NEWBURY PARK CA 91320
JUDE GREEN
SECRETARY
402 CHERRY HILLS COURT
NEWBURY PARK CA 91320
TZEIMS RISK-KOUTSOUKOS
DIRECTOR
GENERAL DELIVERY
THOUSAND OAKS CA 91320
JOHN WILLIAMS
INCORPORTATOR
1201 ORANGE ST STE 600
WILMINGTON DE 19801
| Organization’s website | MEDICALPRIVACYASSOCIATION.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/10/2020 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes Public Safety: Yes 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 | JAMES KOUTSOUKOS |
| Signature Title | PRESIDENT |
| Signature Date | 8/12/2020 |
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