FORM 1023-EZ for MEDICAL DIAGNOSTICS OUTREACH MDO INC

Field Data
EIN 83-1886428
Case Number EO-2018284-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICAL DIAGNOSTICS OUTREACH MDO INC
Organization’s Mailing Address PO BOX 1261
City ALPHARETTA
State GA
ZIP 30009
Accounting period End 1
Primary contact name VIVIAN N KENMOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN N KENMOE
DIRECTOR, PRESIDENT, TREASURER
13720 FREEMANVILLE RD
ALPHARETTA GA 30004

Officer/Director/Trustee Two

MARIE NOELLE NCHINDA
SECRETARY
1803 AUGUSTA DRIVE SE
MARIETTA GA 30067

Officer/Director/Trustee Three

ANDREW TASSANG
DIRECTOR
4493 SHEILA COURT
LILBURN GA 30047

Officer/Director/Trustee Four

ANDRE MARIE NKWEFO
DIRECTOR
4493 SHEILA COURT
LILBURN GA 30047

Organization’s website
Organization’s email MEDICALDIAGNOSISOUTREACH.MDO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 Yes
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 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 VIVIAN N KENMOE
Signature Title DIRECTOR, PRESIDENT, TREASURER
Signature Date 10/9/18

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