FORM 1023-EZ for MEDICAL OUTREACH INTERNATIONAL

Field Data
EIN 82-1097469
Case Number EO-2017240-000431
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDICAL OUTREACH INTERNATIONAL
Organization’s Mailing Address 13629 BALTIMORE AVENUE
City LAUREL
State MD
ZIP 20707
Accounting period End 12
Primary contact name KORLU KUYON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KORLU KUYON
EXECUTIVE DIRECTOR
3739 CASTLE TARRACE
SILVER SPRING MD 20904

Officer/Director/Trustee Two

JOSEPH VERDIER
CHAIRMAN
8491 REYNOLDSWOOD DRIVE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Three

ELLEN JAMES
MEMBER
1275 WOODCREST TARRACE
WOODLYN PA 19094

Officer/Director/Trustee Four

B KULUBOZOMO WEEFA
MEMBER
2606 SWARTS SREET
CHERSTER PA 19013

Officer/Director/Trustee Five

EZE UGWUEZE
MEMBER
5146 PARKWOOD OAKS LANE
MABLETON GA 30126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State MD
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: 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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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