FORM 1023-EZ for PHYSICIANS ON THE GO INC
| Field | Data |
|---|---|
| EIN | 85-3425522 |
| Case Number | EO-2021207-000507 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHYSICIANS ON THE GO INC |
| Organization’s Mailing Address | 300 COLONIAL CENTER PKWY STE 100N |
| City | ROSWELL |
| State | GA |
| ZIP | 30076 |
| Accounting period End | 12 |
| Primary contact name | TRIONA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TRIONA HENDERSON-SAMUEL
DR
300 COLONIAL CENTER PKWY STE 100N
ROSWELL GA 30076
Officer/Director/Trustee Two
IYANA DAVIS
MS
1700 MERIDENE DRIVE
BALTIMORE MD 21239
Officer/Director/Trustee Three
NICKEL HENDERSON
MR
1236 SILVER TRACE DR SW
LILBURN GA 30047
| Organization’s website | |
|---|---|
| Organization’s email | PHYSICIANSONTHEGO@GMAIL.COM |
| Organization Incorporated | |
| Organization trust | Yes |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/30/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | Yes |
| 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 | Yes |
| 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 | TRIONA HENDERSON-SAMUEL |
| Signature Title | DR |
| Signature Date | 7/23/2021 |
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