FORM 1023-EZ for MEDICAL DISTRIBUTORS ASSOCIATION

Field Data
EIN 81-0875709
Case Number EO-2016056-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDICAL DISTRIBUTORS ASSOCIATION
Organization’s Mailing Address 2201 26 AVE NW
City ST PAUL
State MN
ZIP 55112
Accounting period End 12
Primary contact name MARK STINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK STINSON
PRESIDENT
1207 FRONTAGE RD NW
BYRON MN 55920

Officer/Director/Trustee Two

TOM HOLLINGER
VICE PRESIDENT
425 SOUTH OAK
GARNETT KS 66032

Officer/Director/Trustee Three

BRAD HANUS
SECRETARY
2931 HIDDEN LAKE LN
GREEN BAY WI 54313

Officer/Director/Trustee Four

BRUCE DAKIN
TREASURER
7600 JOHNSON DR
FIRESTONE CO 80504

Officer/Director/Trustee Five

DANTE CIPRIANI
DIRECTOR
18555 MARTINS LANE
STRONGSVILLE OH 44149

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
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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