FORM 1023-EZ for MEDCROSS-ORG

Field Data
EIN 83-3528181
Case Number EO-2019074-000800
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDCROSS-ORG
Organization’s Mailing Address 1728 S CARSON AVE
City TULSA
State OK
ZIP 74119
Accounting period End 12
Primary contact name CHRIS TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS TAYLOR
EXECUTIVE DIRECTOR
1728 S CARSON AVE
TULSA OK 74119

Officer/Director/Trustee Two

NATALIYA SCOTT
ASSISTANT DIRECTOR
4914 W 2ND ST
TULSA OK 74127

Officer/Director/Trustee Three

CODY TAYLOR
BOARD MEMBER
1034 E WINSETT
TAHLEQUAH OK 74464

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 CHRIS TAYLOR
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/13/19

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