FORM 1023-EZ for AMERICAN NEDICINE ASSOCIATION INC

Field Data
EIN 81-1525770
Case Number EO-2016056-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN NEDICINE ASSOCIATION INC
Organization’s Mailing Address 19 SILK STREET
City NORWALK
State CT
ZIP 06850-2916
Accounting period End 12
Primary contact name BEVERLY JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEVERLY JACKSON
PRESIDENT
19 SILK STREET
NORWALK CT 06850-2916

Officer/Director/Trustee Two

HELKI ROUNDTREE
VICE PRESIDENT
61 GARDEN STREET
ANSONIA CT 06401-3126

Officer/Director/Trustee Three

FRANCISCO OLIVO
DIRECTOR
163 E 178 STREET APT 2B
BRONX NY 10453-4942

Officer/Director/Trustee Four

AQULIS BELL
DIRECTOR
10691 GRAYSON STREET
JACKSONVILLE FL 32220-1891

Officer/Director/Trustee Five

BEVERLY JACKSON
DIRECTOR
19 SILK STREET
NORWALK CT 06850-2916

Organization’s website WWW.NEDICINE.ORG
Organization’s email NEDICINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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