FORM 1023-EZ for MISSION TELEMEDTRX

Field Data
EIN 81-1791887
Case Number EO-2016141-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION TELEMEDTRX
Organization’s Mailing Address 110 E HOUSTON STREET 7TH FLOOR
City SAN ANTONIO
State TX
ZIP 78205
Accounting period End 12
Primary contact name DICK FLUME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD FLUME
VICE PRESIDENT
110 EAST HOUSTON ST 7TH FLOOR
SAN ANTONIO TX 78205

Officer/Director/Trustee Two

EVERET TAYLOR
PRESIDENT
110 E HOUSTON
SAN ANTONIO TX 78205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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