FORM 1023-EZ for M D WHITEST MEDICAL INSTITUTE

Field Data
EIN 58-2640551
Case Number EO-2020283-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name M D WHITEST MEDICAL INSTITUTE
Organization’s Mailing Address 401 NORTH 15TH STREET
City CORDELE
State GA
ZIP 31015
Accounting period End 5
Primary contact name MATHEW WHITEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATHEW WHITEST
PRESIDENT
401 NORTH 15TH STREET
CORDELE GA 31015

Officer/Director/Trustee Two

JOYCE WHITEST
BOARD MEMBER
401 NORTH 15TH STREET
CORDELE GA 31015

Officer/Director/Trustee Three

DAVID BUTLER
BOARD MEMBER
401 NORTH 15TH STREET
CORDELE GA 31015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2011
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building 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 No
Donation of funds No
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 No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MATHEW WHITEST
Signature Title PRESIDENT
Signature Date 10/7/2020

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