FORM 1023-EZ for THE NATIONAL REGISTRY OF TACTICAL MEDICINE

Field Data
EIN 32-0430609
Case Number EO-2015175-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NATIONAL REGISTRY OF TACTICAL MEDICINE
Organization’s Mailing Address 3948 THIRD STREET SOUTH 132-02
City JACKSONVILLE BEACH
State FL
ZIP 32250-5847
Accounting period End 12
Primary contact name DOUGLAS KLEINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUGLAS KLEINER
PRESIDENT
1172 BLUE HERON LANE WEST
JACKSONVILLE BCH FL 32250-8504

Officer/Director/Trustee Two

CRYSTAL KLEINER
VICE PRESIDENT
1172 BLUE HERON LANE WEST
JACKSONVILLE BCH FL 32250-8504

Officer/Director/Trustee Three

THOMAS NEIL JONES
VICE PRESIDENT
2528 WINDING ROAD
SHELBY NC 28150-4983

Organization’s website
Organization’s email D.KLEINER@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 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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