FORM 1023-EZ for MD24 IHEALTH INC

Field Data
EIN 47-3644159
Case Number EO-2016165-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MD24 IHEALTH INC
Organization’s Mailing Address 14780 W MOUNTAIN VIEW BLVD STE 110
City SURPRISE
State AZ
ZIP 85374
Accounting period End 12
Primary contact name PATTY ADAMTHWAITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA ADAMTHWAITE
TREASURER DIRECTOR
14780 W MOUTIAN VIEW BLVD STE 110
SURPRISE AZ 85374

Officer/Director/Trustee Two

LINH NGUYEN
PRESIDENT DIRECTOR
14780 W MOUNTIAN VIEW BLVD STE 110
SURPRISE AZ 85374

Officer/Director/Trustee Three

LISA THOMPSON
DIRECTOR
2321 E SPEEDWAY BLVD
TUCSON AZ 85719

Officer/Director/Trustee Four

AYAZ AHMAD
VICE PRESIDENT DIRECTOR
14780 W MOUNTAIN VIEW BLVD STE 110
SURPRISE AZ 85374

Officer/Director/Trustee Five

DOAN NGO
SECRETARY DIRECTOR
14780 W MOUNTAIN VIEW BLVD STE 110
SURPRISE AZ 85374

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2015
Organization Incorporation State AZ
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: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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