FORM 1023-EZ for ISLA MEDICAL FOUNDATION

Field Data
EIN 84-2120382
Case Number EO-2020023-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLA MEDICAL FOUNDATION
Organization’s Mailing Address 80981 ROCKHURST DR
City INDIO
State CA
ZIP 92201
Accounting period End 12
Primary contact name ASHLEY HUMSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA OLIVER
PRESIDENT / DIRECTOR
223 PACIFIC ST APT D
SANTA MONICA CA 90405

Officer/Director/Trustee Two

ASHLEY HUMSTON
TREASURER / SECRETARY / DIRECTOR
80981 ROCKHURST DR
INDIO CA 92201

Officer/Director/Trustee Three

MIKE COWAN
VICE PRESIDENT / DIRECTOR
80981 ROCKHURST DR
INDIO CA 92201

Organization’s website WWW.ISLAMEDICALFOUNDATION.ORG
Organization’s email INFO@ISLAMEDICALFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 ASHLEY HUMSTON
Signature Title TREASURER / SECRETARY / DIRECTOR
Signature Date 1/21/2020

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