FORM 1023-EZ for ORANGE COUNTY MEDICAL LEGAL PARTNERSHIPS

Field Data
EIN 47-4566502
Case Number EO-2015225-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORANGE COUNTY MEDICAL LEGAL PARTNERSHIPS
Organization’s Mailing Address 4199 CAMPUS DRIVE FIFTH FLOOR
City IRVINE
State CA
ZIP 92612
Accounting period End 4
Primary contact name LESLIE LINDGREN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE LINDGREN
DIRECTOR
18781 VIA PALATINO
IRVINE CA 92603

Officer/Director/Trustee Two

MARK CARLSON
BOARD MEMBER
32938 AVENIDA DEL ROSAL
SAN JUAN CAPISTRANO CA 92675

Officer/Director/Trustee Three

JACKIE MOODY
BOARD MEMBER
4521 CAMPUS DRIVE
IRVINE CA 92612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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