FORM 1023-EZ for D E M A DISASTER EMERGENCY MEDICALASSISTANCE INC
| Field | Data |
|---|---|
| EIN | 84-4624159 |
| Case Number | EO-2020297-000719 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | D E M A DISASTER EMERGENCY MEDICALASSISTANCE INC |
| Organization’s Mailing Address | 316 VALLEJO ST |
| City | PETALUMA |
| State | CA |
| ZIP | 94952 |
| Accounting period End | 12 |
| Primary contact name | MICA PANGBORN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CODY PETERSEN
SECRETARY/DIRECTOR
1600 YULUPA AVE 2
SANTA ROSA CA 94905
Officer/Director/Trustee Two
MICHELLE PATINO
PRESIDENT/DIRECTOR
316 VALLEJO ST
PETALUMA CA 94952
Officer/Director/Trustee Three
MICA PANGBORN
TREASURER/DIRECTOR
316 VALLEJO ST
PETALUMA CA 94952
| Organization’s website | |
|---|---|
| Organization’s email | EMPACT4DISASTERS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/14/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M20 - Disaster Preparedness and Relief Services |
| 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 | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | MICHELLE PATINO |
| Signature Title | PRESIDENT/DIRECTOR |
| Signature Date | 10/21/2020 |
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