FORM 1023-EZ for CRENSHAW HEALTH PARTNERS

Field Data
EIN 83-4337293
Case Number EO-2019119-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRENSHAW HEALTH PARTNERS
Organization’s Mailing Address 3650 MARTIN LUTHER KING BL 296
City LOS ANGELES
State CA
ZIP 90008
Accounting period End 12
Primary contact name GLENN STERLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGO THOMAS
PRESIDENT
3650 MARTIN LUTHERKING BL 296
LOS ANGELES CA 90008

Officer/Director/Trustee Two

DEBRA ADEWALE
VICE PRESIDENT
3650 MARTIN LUTHER KING BL 296
LOS ANGELES CA 90008

Officer/Director/Trustee Three

APRYL SIMS
SECRETARY TRES
3650 MARTIN LUTHER LING BL 296
LOS ANGELES CA 90008

Officer/Director/Trustee Four

GLENN STERLING
DIRECTOR
9700 RESEDA BLVD 209
NORTHRIDGE CA 91324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 GLENN STERLING
Signature Title DIRECTOR
Signature Date 4/26/19

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