FORM 1023-EZ for ACCESS MEDICAL CLINIC CHARITABLE FUND

Field Data
EIN 85-0589661
Case Number EO-2020157-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACCESS MEDICAL CLINIC CHARITABLE FUND
Organization’s Mailing Address 49 HIGHWAY 62/142
City ASH FLAT
State AR
ZIP 72513
Accounting period End 12
Primary contact name JEREMY HOLDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY HOLDER
PRESIDENT, DIRECTOR
309 ASHFORD COVE
JONESBORO AR 72404

Officer/Director/Trustee Two

JERRY CARTER
TREASURER, DIRECTOR
4709 ROCKPORT DRIVE
JONESBORO AR 72404

Officer/Director/Trustee Three

CATHY BIBB
SECRETARY, DIRECTOR
3520 PRESTON OAKS DRIVE
JONESBORO AR 72404

Officer/Director/Trustee Four

MANUEL BIBB
DIRECTOR
2008 BOUNDARY OAKS DRIVE
JONESBORO AR 72404

Officer/Director/Trustee Five

SARAH JANE MARTIN
DIRECTOR
2416 SEA ISLAND DRIVE
JONESBORO AR 72404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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 JEREMY HOLDER
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/3/2020

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