FORM 1023-EZ for ECHO MEDICAL GROUP INC

Field Data
EIN 47-3944624
Case Number EO-2015218-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ECHO MEDICAL GROUP INC
Organization’s Mailing Address 31 EDWARDS STREET
City NEW HAVEN
State CT
ZIP 06511
Accounting period End 1
Primary contact name JADEN HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JADEN HARRIS
EXECUTIVE DIRECTOR
31 EDWARDS STREET
NEW HAVEN NY 06511

Officer/Director/Trustee Two

MICHAEL PATRICK
OPERATIONS DIRECTOR
13 TRAVER HOLLOW ROAD
BOICEVILLE NY 12412

Officer/Director/Trustee Three

MELISSA HAZLITT
PROGRAM DIRECTOR
31 EDWARDS STREET
NEW HAVEN CT 06511

Officer/Director/Trustee Four

JENNY DOYLE
COMMUNICATIONS DIRECTOR
345 FRANKLIN AVE APT 2
BROOKLYN NY 11238

Officer/Director/Trustee Five

JUSTIN THOMSON
EDUCATION DIRECTOR
2454 OLD CANYON ROAD
PORTAL AZ 85632

Organization’s website ECHOMEDICALTEAM.ORG
Organization’s email INFO@ECHOMEDICALTEAM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2015
Organization Incorporation State CT
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 Yes
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
Signature Title
Signature Date

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