FORM 1023-EZ for PHILIPPINE ASSOCIATION OF MEDICAL TECHNOLOGISTS - MICHIGAN CHAPTER

Field Data
EIN 83-2807238
Case Number EO-2019092-000032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILIPPINE ASSOCIATION OF MEDICAL TECHNOLOGISTS - MICHIGAN CHAPTER
Organization’s Mailing Address 1858 SQUIRREL VALLEY DRIVE
City BLOOMFIELD HILLS
State MI
ZIP 48304-1146
Accounting period End 12
Primary contact name JOHN KO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN KO
PRESIDENT
1858 SQUIRREL VALLEY DRIVE
BLOOMFIELD HILLS MI 48304-1146

Officer/Director/Trustee Two

DOLLIE JACOSALEM
TREASURER
11677 ROSALINA DRIVE
LIVONIA MI 48150-1070

Officer/Director/Trustee Three

KEA ANUDDIN
SECRETARY
3400 EMMONS AVE
ROCHESTER MI 48307-5618

Officer/Director/Trustee Four

ANNIE VILLAREAL
AUDITOR
28155 MILTON AVE
WARREN MI 48092-4550

Officer/Director/Trustee Five

JIM SEDAYAO
ADVISOR
4541 CLOVERLANE CT
YPSILANTI MI 48197-5056

Organization’s website
Organization’s email PAMETMICHIGAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/19
Organization Incorporation State MI
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: Yes
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 Yes
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 JOHN KO
Signature Title PRESIDENT
Signature Date 3/30/19

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