FORM 1023-EZ for AUSTERE MEDICAL INITIATIVE

Field Data
EIN 82-2327303
Case Number EO-2017258-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUSTERE MEDICAL INITIATIVE
Organization’s Mailing Address 5911 DIX ST NE
City WASHINGTON
State DC
ZIP 20019
Accounting period End 10
Primary contact name NICHOLAS MANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS MANLEY
CHIEF FINANCIAL OFFICER/ DEPUTY DIR
5911 DIX ST NE
WASHINGTON DC 20019

Officer/Director/Trustee Two

JOHN MURPHY
CO-DIRECTOR
PO BOX12514
SEATTLE WA 98111

Officer/Director/Trustee Three

JOEL WALKER
CO-DIRECTOR CEO
PO BOX 12514
SEATTLE WA 98111

Officer/Director/Trustee Four

CHARLY MCCREARY
DEPUTY DIRECTOR/ TREASURER
PO BOX 12514
SEATTLE DC 98111

Officer/Director/Trustee Five

ZACHARY STOLLEY
DEPUTY DIRECTOR/ COO
5911 DIX ST NE
WASHINGTON DC 20019

Organization’s website
Organization’s email ADMIN@AUSTEREMEDICAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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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