FORM 1023-EZ for DOCTOR DOCTOR INC

Field Data
EIN 84-2510847
Case Number EO-2020055-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOCTOR DOCTOR INC
Organization’s Mailing Address 9835 AUBURN ROAD
City FORT WAYNE
State IN
ZIP 46825-1611
Accounting period End 12
Primary contact name CHRISTOPHER STROUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER STROUD
SECRETARY/TREASURER
9835 AUBURN ROAD
FORT WAYNE IN 46825-1611

Officer/Director/Trustee Two

THOMAS MCGOVERN
PRESIDENT
5223 W HAMILTON ROAD
FORT WAYNE IN 46814-9415

Officer/Director/Trustee Three

ANDREW MULLALY
VICE PRESIDENT
8530 QUAILWEST COVE
FORT WAYNE IN 46835-9638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2019
Organization Incorporation State IN
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: No
Educational: No
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 CHRISTOPHER STROUD
Signature Title SECRETARY/TREASURER
Signature Date 2/20/2020

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