FORM 1023-EZ for ROCK MEDICAL FOUNDATION INC

Field Data
EIN 84-2283852
Case Number EO-2019199-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK MEDICAL FOUNDATION INC
Organization’s Mailing Address 571 BOSTON MILLS ROAD STE 100
City HUDSON
State OH
ZIP 44236
Accounting period End 12
Primary contact name MICHAEL D MCPHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS RAMSAY
DIRECTOR
571 BOSTON MILLS RD STE 100
HUDSON OH 44236

Officer/Director/Trustee Two

ROBIN RAMSAY
DIRECTOR
571 BOSTON MILLS RD STE 100
HUDSON OH 44236

Officer/Director/Trustee Three

MATTHEW RAMSAY
DIRECTOR
571 BOSTON MILLS RD STE 100
HUDSON OH 44236

Officer/Director/Trustee Four

MEGHAN RAMSAY
DIRECTOR
571 BOSTON MILLS RD STE 100
HUDSON OH 44236

Officer/Director/Trustee Five

EDWIN REPPHUN
DIRECTOR
571 BOSTON MILLS RD STE 100
HUDSON OH 44236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS RAMSAY
Signature Title DIRECTOR
Signature Date 7/16/19

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