FORM 1023-EZ for JAMES WILSON BRIDGES MD MEDICAL SOCIETY INC

Field Data
EIN 26-2604742
Case Number EO-2018190-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMES WILSON BRIDGES MD MEDICAL SOCIETY INC
Organization’s Mailing Address 2014 NW 139 TERRACE
City PEMBROKE PINES
State FL
ZIP 33028
Accounting period End 12
Primary contact name RODRICK WALTERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY HALL
PRESIDENT
7710 NW 71 COURT
TAMARAC FL 33321

Officer/Director/Trustee Two

MICHELLE KIRWAN
SECRETARY
15490 NW 7 AVENUE
NORTH MIAMI BEACH FL 33369

Officer/Director/Trustee Three

CHERYL HOLDER
TREASURER
2014 NW 139 TERRACE
PEMBROKE PINES FL 33028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/08
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANTHONY HALL
Signature Title PRESIDENT
Signature Date 7/5/18

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