FORM 1023-EZ for GLOBAL OUTREACH DOCTORS

Field Data
EIN 47-2010691
Case Number EO-2014281-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLOBAL OUTREACH DOCTORS
Organization’s Mailing Address 794 CAMINO LOS ABUELOS
City GALISTEO
State NM
ZIP 87540
Accounting period End 12
Primary contact name ANDREW LUSTIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW LUSTIG
DIRECTOR
794 camino los abuelos
Galisteo NM 87540

Officer/Director/Trustee Two

BRIAN BOST
MEDICAL CO-DIRECTOR
417 OGDEN STREET
DENVER CO 80218

Officer/Director/Trustee Three

MATTHEW MARKERT
MEDICAL CO-DIRECTOR
128 WEST 13TH STREET UNIT 916
KANSAS CITY MO 64105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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