FORM 1023-EZ for AUSTIN FUNCTIONAL MEDICINE EDUCATION GROUP

Field Data
EIN 81-1409080
Case Number EO-2016057-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUSTIN FUNCTIONAL MEDICINE EDUCATION GROUP
Organization’s Mailing Address 3010 BEE CAVE ROAD
City AUSTIN
State TX
ZIP 78746
Accounting period End 12
Primary contact name LAURIE L YORK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS SCHNORR
PRESIDENT
3010 BEE CAVE ROAD
AUSTIN TX 78746

Officer/Director/Trustee Two

GLENN KINKEL
TREASURER
12625 FITZHUGH ROAD
AUSTIN TX 78736

Officer/Director/Trustee Three

SUZANNE JENKINS
SECRETARY
3811 EASTLEDGE DRIVE
AUSTIN TX 78731

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2015
Organization Incorporation State TX
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: 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
Signature Title
Signature Date

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