FORM 1023-EZ for MEDICAL ASSISTANCE AND MISSIONAL OUTREACH

Field Data
EIN 81-4222229
Case Number EO-2016342-000016
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDICAL ASSISTANCE AND MISSIONAL OUTREACH
Organization’s Mailing Address PO BOX 10412
City SPOKANE
State WA
ZIP 99209-0412
Accounting period End 12
Primary contact name KRYSTELLE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSS HAMILTON
PRESIDENT
133 BROOKSIDE WAY
WENATCHEE WA 98801-3341

Officer/Director/Trustee Two

KRYSTELLE BROWN
TREASURER
5120 N ASSEMBLY ST
SPOKANE WA 99205-6109

Officer/Director/Trustee Three

HEATHER HAMILTON
SECRETARY
133 BROOKSIDE WAY
WENATCHEE WA 98801-3341

Officer/Director/Trustee Four

DAVE HUNTER
VOTING MEMBER
1024 VISTA PLAC
WENATCHEE WA 98801-3272

Officer/Director/Trustee Five

NIKOLE MCCOLLOW
VOTING MEMBER
305 DAN LANE
ELLENSBURG WA 98926-9300

Organization’s website WWW.MAMOUGANDA.ORG
Organization’s email MAMA.UGANDA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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