FORM 1023-EZ for PHYSICIANS MISSION
| Field | Data |
|---|---|
| EIN | 81-4732964 |
| Case Number | EO-2021082-000230 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHYSICIANS MISSION |
| Organization’s Mailing Address | 1117 HILLTOP DR |
| City | ROCK SPRINGS |
| State | WY |
| ZIP | 82901 |
| Accounting period End | 12 |
| Primary contact name | JONATHON LAMB |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PETER JENSEN
PRESIDENT
1117 HILLTOP DR
ROCK SPRINGS WY 82901
Officer/Director/Trustee Two
CATHERINE JENSEN
SECRETARY
1117 HILLTOP DR
ROCK SPRINGS WY 82901
Officer/Director/Trustee Three
ROBERT PEETS
VICE PRESIDENT
3825 OLD SALEM RD
DAYTON OH 45415
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/31/2015 |
| Organization Incorporation State | WY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| 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 | PETER JENSEN |
| Signature Title | PRESIDENT |
| Signature Date | 1/29/2021 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
