FORM 1023-EZ for BRIDGEMED INC

Field Data
EIN 83-3586864
Case Number EO-2019135-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIDGEMED INC
Organization’s Mailing Address 101 LIVINGSTON PLACE
City METAIRIE
State LA
ZIP 70005-3969
Accounting period End 12
Primary contact name HAYES MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAYES MARTIN
PRESIDENT
101
METAIRIE LA 70005-3969

Officer/Director/Trustee Two

DYLAN SELLARS
VICE-PRESIDENT
221 RIVER POINT DR
DESTREHAN LA 70047-4010

Officer/Director/Trustee Three

JOHN GUNALDO
TREASURER
114 WILLOW DR
COVINGTON LA 70433-4922

Officer/Director/Trustee Four

TOM MARTIN
SECRETARY
101 LIVINGSTON PLACE
METAIRIE LA 70005-3969

Officer/Director/Trustee Five

ALEC SCHEFFLER
DIRECTOR
13 BELLE HELENE DRIVE
DESTREHAN LA 70047-2526

Organization’s website BRIDGEMED.ORG
Organization’s email BRIDGEMEDNONPROFIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 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 TOM MARTIN
Signature Title SECRETARY
Signature Date 5/13/19

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