FORM 1023-EZ for YOU ONLY LIVE ONCE MEDICAL
| Field | Data |
|---|---|
| EIN | 84-2298258 |
| Case Number | EO-2019190-000154 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | YOU ONLY LIVE ONCE MEDICAL |
| Organization’s Mailing Address | 3000 FERN VALLEY RD STE 100B |
| City | LOUISVILLE |
| State | KY |
| ZIP | 40213 |
| Accounting period End | 6 |
| Primary contact name | KORTNEY ARNOLD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KORTNEY ARNOLD
CEO NP
3220 LAKEWOOD BLVD
JEFFERSONVILLE IN 40213
Officer/Director/Trustee Two
PATRICIA NORTON
BOARD MEMBER
3117 MEADOWLARK AVE
LOUISVILLE KY 40213
Officer/Director/Trustee Three
BRITTNEY ROMERO
BOARD MEMBER
10612 ELK RUN TRL
SELLERSBURG IN 47172
| Organization’s website | |
|---|---|
| Organization’s email | PROVIDER@YOLOMEDICAL.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/3/19 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N70 - Amateur Sports Competitions |
| 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 | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | KORTNEY ARNOLD |
| Signature Title | CEO NP |
| Signature Date | 7/3/19 |
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