| Field | Data |
|---|---|
| EIN | 84-3899765 |
| Case Number | EO-2019345-000269 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AMED MEDICAL FOUNDATION |
| Organization’s Mailing Address | 4536 NOLENSVILLE PIKE SUITE F |
| City | NASHVILLE |
| State | TN |
| ZIP | 37211 |
| Accounting period End | 12 |
| Primary contact name | HEVAL MOHAMED KELLI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
HEVAL MOHAMED KELLI
PRESIDENT
4536 NOLENSVILLE PIKE SUITE F
NASHVILLE TN 37211
KAJIN ABDULLAH
VICE PRESIDENT
4536 NOLENSVILLE PIKE SUITE F
NASHVILLE TN 37211
VEJIN HOMID
SECRETARY
1361 CONSER STREET
COLLIERVILLE TN 38017
DILMON ABDULLAH
TREASURER
5161 FALLING WATER RD
NOLENSVILLE TN 37135
| Organization’s website | WWW.AMEDMED.ORG |
|---|---|
| Organization’s email | INFO@AMEDFAMILYCLINIC.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/8/2019 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| Organization’s purpose | Charitable: Yes 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 | HEVAL MOHAMED KELLI |
| Signature Title | PRESIDENT |
| Signature Date | 12/9/2019 |
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