FORM 1023-EZ for CLINICIANS OF THE WORLD

Field Data
EIN 27-2237043
Case Number EO-2017003-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINICIANS OF THE WORLD
Organization’s Mailing Address PO BOX 116
City ROCHESTER
State MN
ZIP 55903-0116
Accounting period End 12
Primary contact name ROWLENS MELDUNI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROWLENS MELDUNI
PRESIDENT AND CEO
PO BOX 116
ROCHESTER MN 55903-0116

Officer/Director/Trustee Two

PHILLIP LERMON
LOGISTICS MANAGER
1213 SUNDANCE CT NE
BYRON MN 55920-1573

Officer/Director/Trustee Three

R THOMAS TILBURY
MEDICAL DIRECTOR
PO BOX 116
ROCHESTER MN 55903-0116

Officer/Director/Trustee Four

JOSEPH MURPHY
SENIOR VICE-PRESIDENT AND TREASURER
PO BOX 116
ROCHESTER MN 55903-0116

Officer/Director/Trustee Five

DARRELL LOBIN
RESOURCE DEVELOPMENT DIRECTOR
PO BOX 116
ROCHESTER MN 55903-0116

Organization’s website HTTP://WWW.CLINICIANSOFTHEWORLD.ORG/
Organization’s email VOLUNTEER@CLINICIANSOFTHEWORLD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2010
Organization Incorporation State MN
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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