FORM 1023-EZ for GOOD MEDICINE PEDALERS

Field Data
EIN 81-1777054
Case Number EO-2016074-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD MEDICINE PEDALERS
Organization’s Mailing Address 105 N MAIN ST
City COLLINSVILLE
State TX
ZIP 76233
Accounting period End 12
Primary contact name JO NELL LEWTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JO NELL LEWTER
DIRECTOR
PO BOX 627
COLLINSVILLE TX 76233

Officer/Director/Trustee Two

AMY CRAIG
DIRECTOR
604 E HUGHES ST
COLLINSVILLE TX 76233-5446

Officer/Director/Trustee Three

EDWARD MATTHEWS
DIRECTOR
PO BOX 409
COLLINSVILLE TX 76233

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P52 - Transportation, Free or Subsidized
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 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 Yes
One Third Support Gifts No
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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