FORM 1023-EZ for ASSISTIVE MEDIDA

Field Data
EIN 38-3319932
Case Number EO-2015098-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSISTIVE MEDIDA
Organization’s Mailing Address 400 MAYNARD STREET
City ANN ARBOR
State MI
ZIP 48104
Accounting period End 12
Primary contact name DAVID ERDODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWARD VIELMETTI
CHAIR
1236 BROOKLYN
ANN ARBOR MI 48104

Officer/Director/Trustee Two

MARY REILLY
TRUSTEE
500 WEST WASHINGTON
ANN ARBOR MI 48104

Officer/Director/Trustee Three

MARGE WOLFE
TRUSTEE
343 SOUTH FIFTH AVENUE
ANN ARBOR MI 48104

Officer/Director/Trustee Four

TOM LALONDE
TRUSTEE
7008 POPLAR
TAKOMA PARK MD 20912

Officer/Director/Trustee Five

DAVID ERDODY
PRESIDENT
400 MAYNARD STREET
ANN ARBOR MI 48104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/1996
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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