FORM 1023-EZ for MEDIQUIP360 INC

Field Data
EIN 82-2204460
Case Number EO-2021065-000013
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDIQUIP360 INC
Organization’s Mailing Address PO BOX 338
City ENGLEWOOD
State OH
ZIP 45322
Accounting period End 7
Primary contact name DEANE GRANDFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MORGAN GRANDFIELD
PRESIDENT
4309 PARKVIEW AVE
ENGLEWOOD OH 45322

Officer/Director/Trustee Two

DEANE GRANDFIELD
TREASURE
4309 PARKVIEW AVE
ENGLEWOOD OH 45322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEANE GRANDFIELD
Signature Title TREASURE
Signature Date 1/15/2021

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