FORM 1023-EZ for INTERNATIONAL CHRISTIAN ORTHOTIC AND PROSTHETIC SERIVICES
| Field | Data |
|---|---|
| EIN | 81-2357748 |
| Case Number | EO-2017223-000149 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | INTERNATIONAL CHRISTIAN ORTHOTIC AND PROSTHETIC SERIVICES |
| Organization’s Mailing Address | 4263 NAMBE CT |
| City | LAS CRUCES |
| State | NM |
| ZIP | 88011-4287 |
| Accounting period End | 5 |
| Primary contact name | ALLEN DOLBERRY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEITH BRAUN
SECRETARY
3218 EAST ENROSE STREET
MESA AZ 85213-6200
Officer/Director/Trustee Two
DEAN THEW
TREASURER
6160 EAST RIVERDALE STREET
MESA AZ 85215-3504
Officer/Director/Trustee Three
JASON KUNERT
VICE PRESIDENT
8140 EAST SIENNA STREET
MESA AZ 85207-1179
Officer/Director/Trustee Four
MATT DRAGER
PRESIDENT
633 E SARATOGA STREET
GILBERT AZ 85296-2341
Officer/Director/Trustee Five
ALLEN DOLBERRY
COO
4263 NAMBE CT
LAS CRUCES NM 88011-4287
| Organization’s website | |
|---|---|
| Organization’s email | INTERNATIONALCHRISTIANOPS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/6/2016 |
| Organization Incorporation State | NM |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E99 - Health - General and Rehabilitative N.E.C. |
| 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 | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| 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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