FORM 1023-EZ for ASSOCIATION FOR THE ADVANCEMENT OFENERGY MEDICINE

Field Data
EIN 84-1531188
Case Number EO-2020139-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION FOR THE ADVANCEMENT OFENERGY MEDICINE
Organization’s Mailing Address 405 E OMAHA ST SUITE B
City RAPID CITY
State SD
ZIP 57701
Accounting period End 12
Primary contact name DORIS EPPERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE EPPERSON
PRESIDENT
405 E OMAHA ST SUITE B
RAPID CITY SD 57701

Officer/Director/Trustee Two

DORIS EPPERSON
TREASURER
12257NAVAJO DR
PIEDMONT SD 57769

Officer/Director/Trustee Three

LAUREN MILLER
SECRETARY
P O BOX 313
PRESHO SD 57568

Officer/Director/Trustee Four

NICOLE BORREGO
TRUSTEE
10383 INSPIRATION DR
PARKER CO 80138

Officer/Director/Trustee Five

JOAN CHAUDOIR
TRUSTEE
6839 EDGEWOOD CT
STURGEON WI 54235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2000
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 DORIS EPPERSON
Signature Title TREASURER
Signature Date 5/15/2020

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