FORM 1023-EZ for COMPASSIONRX INC

Field Data
EIN 83-4576968
Case Number EO-2019238-000704
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMPASSIONRX INC
Organization’s Mailing Address 157
City SPARTA
State MI
ZIP 49345
Accounting period End 12
Primary contact name ADAM KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM KING
PROGRAM DIRECTOR
157
SPARTA MI 49345

Officer/Director/Trustee Two

THOMAS MAGNIFICO
PHARMACIST IN CHARGE
5455 RANGER HILLS DR
GRAND RAPIDS MI 49546

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 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 ADAM KING
Signature Title PROGRAM DIRECTOR
Signature Date 8/24/19

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