FORM 1023-EZ for AMERICAN COUNSEL TO ADVANCE MEDICARE FOR ALL INC

Field Data
EIN 83-2311635
Case Number EO-2018318-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN COUNSEL TO ADVANCE MEDICARE FOR ALL INC
Organization’s Mailing Address PO BOX 102
City CANAAN
State NY
ZIP 12029
Accounting period End 12
Primary contact name CARL ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL ATKINS
DIRECTOR
420 MERCER MOUNTAIN ROAD
EAST CHATHAM NY 12060

Officer/Director/Trustee Two

TONY ALBINO
DIRECTOR
397 NORTHERN BLVD
GERMANTOWN NY 12526

Officer/Director/Trustee Three

BRIAN FLYNN
DIRECTOR
PO BOX 81
ELKA PARK NY 12427

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 CARL ATKINS
Signature Title DIRECTOR
Signature Date 11/6/18

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