FORM 1023-EZ for DIRECT MED CARE

Field Data
EIN 47-3265572
Case Number EO-2015078-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIRECT MED CARE
Organization’s Mailing Address 506 HARLEY STREET
City SCOTTSBORO
State AL
ZIP 35768
Accounting period End 12
Primary contact name MUHAMMAD ATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MUHAMMAD ATA
PRESIDENT AND DIRECTOR
506 HARLEY STREET
SCOTTSBORO AL 35768-1734

Officer/Director/Trustee Two

KHIZER AHMAD
SECRETARY AND DIRECTOR
1132 COPPER CREEK DR
CANTON GA 30114-9997

Officer/Director/Trustee Three

NADIM KAZI
VICE PRESIDENT AND DIRECTOR
685 PROVIDENCE MAIN STREET
HUNTSVILLE AL 35806-9805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 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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