FORM 1023-EZ for SPECIALIZED MEDICAL STANDARDS
| Field | Data |
|---|---|
| EIN | 84-4377002 |
| Case Number | EO-2020045-000345 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SPECIALIZED MEDICAL STANDARDS |
| Organization’s Mailing Address | 70 LAMBRIG WAY |
| City | COLORADO SPRINGS |
| State | CO |
| ZIP | 80906-7962 |
| Accounting period End | 12 |
| Primary contact name | SEAN KEENAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SEAN KEENAN
DIRECTOR; CEO
70 LAMBRIG WAY
COLORADO SPRINGS CO 80906-7962
Officer/Director/Trustee Two
IAN WEDMORE
DIRECTOR; SECRETARY
3816 52ND ST NE
TACOMA WA 98422-1998
Officer/Director/Trustee Three
ROGER DAIL
DIRECTOR
4917 HWY 55 WEST
KINSTON NC 28504-7481
Officer/Director/Trustee Four
HERMAN TIEMENS
DIRECTOR
5740 BROADMOOR BLUFFS
COLORADO SPRINGS CO 80906-8201
Officer/Director/Trustee Five
SUSAN MELLOW
DIRECTOR
735 PAISLEY DRIVE
COLORADO SPRINGS CO 80906-8266
| Organization’s website | |
|---|---|
| Organization’s email | DOCKEENAN91@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/11/2020 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G90 - Medical Disciplines |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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 | SEAN KEENAN |
| Signature Title | DIRECTOR; CEO |
| Signature Date | 2/12/2020 |
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