FORM 1023-EZ for US INTERNATIONAL MEDICAL FOUNDATIONINC

Field Data
EIN 82-0728297
Case Number EO-2017072-000539
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name US INTERNATIONAL MEDICAL FOUNDATIONINC
Organization’s Mailing Address 2811 NW 22 DRIVE
City GAINESVILLE
State FL
ZIP 32605
Accounting period End 12
Primary contact name JONATHAN W ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN ANDERSON
PRESIDENT
2811 NW 22 DRIVE
GAINESVILLE FL 32605

Officer/Director/Trustee Two

GARY COOPER
VICE PRESIDENT
3317 LAKE ALBANO CIRCLE
SAN JOSE CA 95135

Officer/Director/Trustee Three

SHENG ZHONG
SECRETARY/TREASURER
2701 NW 23 BLVD APT AA175
GAINESVILLE FL 32605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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