FORM 1023-EZ for MARICOPA MOBILE MED INC

Field Data
EIN 47-4988064
Case Number EO-2018276-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARICOPA MOBILE MED INC
Organization’s Mailing Address 20548 N DONITHAN WAY
City MARICOPA
State AZ
ZIP 85138-2466
Accounting period End 6
Primary contact name JOHN E BUCKWALTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BUCKWALTER
PRESIDENT
20548 N DONITHAN WAY
MARICOPA AZ 85138-2466

Organization’s website
Organization’s email JOHN.E.BUCKWALTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/15
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN BUCKWALTER
Signature Title PRESIDENT
Signature Date 10/1/18

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