| Field | Data |
|---|---|
| EIN | 85-1340116 |
| Case Number | EO-2020267-000345 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COLLECTIVE MEDICINE |
| Organization’s Mailing Address | 519 E CHERRY AVE UNIT B |
| City | FLAGSTAFF |
| State | AZ |
| ZIP | 86001 |
| Accounting period End | 12 |
| Primary contact name | PAMILLE ARTHUR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
PAMILLE ARTHUR
CHIEF OF OPERATIONS
4841 E MERRIAM DR
FLAGSTAFF AZ 86004
MURPHY ZOHNNIE
DIRECTOR
120 S GOODING LANE 3
FARMINGTON NM 87401
LARITA STEVENS
TREASURER
2728 N JAMSISON
FLAGSTAFF AZ 86004
ASHLEE LEWIS
BOARD MEMBER
18959 E WARREN DRIVE 207
AURORA CO 80013
PATRICK BOHAN
BOARD CHAIR
12001 COUNTY ROAD 3520
ADA OK 74820
| Organization’s website | WWW.COLLECTIVEMEDICINE.NET |
|---|---|
| Organization’s email | PAMARTHUR@COLLECTIVEMEDICINE.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/19/2020 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P60 - Emergency Assistance (Food, Clothing, Cash) |
| 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 | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | PAMILLE ARTHUR |
| Signature Title | CHIEF OF OPERATIONS |
| Signature Date | 9/21/2020 |
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