FORM 1023-EZ for ONE WORLD MEDICAL RELIEF

Field Data
EIN 82-1707735
Case Number EO-2017202-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE WORLD MEDICAL RELIEF
Organization’s Mailing Address 183 LOVELAND WAY
City GOLDEN
State CO
ZIP 80401
Accounting period End 12
Primary contact name MELINDA SCHLINSOG ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BROWN
PRESIDENT AND DIRECTOR
183 LOVELAND WAY
GOLDEN CO 80401

Officer/Director/Trustee Two

DAVID THEIL
TREASURER AND DIRECTOR
1678 STONEHAM LANE
EVERGREEN CO 80439

Officer/Director/Trustee Three

ROYAL GEROW
DIRECTOR
10659 BACKCOUNTRY DRIVE
HIGHLANDS RANCH CO 80126

Officer/Director/Trustee Four

JIM LESSIG
DIRECTOR
10098 WHISTLING ELK DRIVE
LITTLETON CO 80127

Officer/Director/Trustee Five

AMY JOHNSON
DIRECTOR
1265 NORTH DOWNING STREET UNIT 210
DENVER CO 80218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2017
Organization Incorporation State CO
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 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 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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