| Field | Data |
|---|---|
| EIN | 82-2860562 |
| Case Number | EO-2017283-000169 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | APPALACHIAN MEDICAL PROFESSIONALS INC |
| Organization’s Mailing Address | 122 12TH STREET ATTN WALLACE HORNE |
| City | PRINCETON |
| State | WV |
| ZIP | 24740 |
| Accounting period End | 12 |
| Primary contact name | FREDERICK W BARKER MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
FREDERICK BARKER
PRESIDENT
2216 W CUMBERLAND ROAD
BLUEFIELD VA 24605
WALLACE HORNE
VICE PRESIDENT
122 12TH STREET
PRINCETON WV 24740
HAROLD COFER
SECRETARY TREASURER
840 QUAIL VALLEY ROAD
PRINCETON WV 24740
MARY ROHRIG
BOARD MEMBER
ONE FOX RUN
PRINCETON WV 24739
BETTY NASH
BOARD MEMBER
505 MOUNTAIN VIEW AVENUE
BLUEFIELD WV 24701
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/2017 |
| Organization Incorporation State | WV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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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