FORM 1023-EZ for OPENEMR FOUNDATION INC

Field Data
EIN 83-0557835
Case Number EO-2019073-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPENEMR FOUNDATION INC
Organization’s Mailing Address PO BOX 422
City WINTER PARK
State FL
ZIP 32789-9998
Accounting period End 12
Primary contact name ROBERT DOWN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT DOWN JR
DIRECTOR
PO BOX 422
WINTER PARK FL 32789-9998

Officer/Director/Trustee Two

MATTHEW VITA
DIRECTOR
233 5TH STREET APT 12
ASPINWALL PA 15215

Officer/Director/Trustee Three

BRADY MILLER
DIRECTOR
536 CHERRYWOOD DRIVE SW
OLYMPIA WA 98502

Organization’s website HTTPS://OPEN-EMR.ORG
Organization’s email HELP@OPEN-EMR.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 ROBERT DOWN JR
Signature Title DIRECTOR
Signature Date 3/12/19

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