| Field | Data |
|---|---|
| EIN | 87-2478108 |
| Case Number | EO-2021257-000100 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FAITH COMMUNITY HEALTH NETWORK |
| Organization’s Mailing Address | PO BOX 580 37631 SODAVILLE CUTOFF |
| City | LEBANON |
| State | OR |
| ZIP | 97355 |
| Accounting period End | 12 |
| Primary contact name | DEBORAH L FELLCARLSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DEBORAH FELLCARLSON
PRESIDENT
PO BOX 580
LEBANON OR 97355
MARCY SHANKS
SECRETARY
39704 BAPTIST CHURCH DR
LEBANON OR 97355
TAWNI PFAFF
TREASURER
525 F ST
LEBANON OR 97355
LINDA TEDISCH
DIRECTOR
1650 NW THORNTON LAKE PL
ALBANY OR 97321
SUSAN FREEMAN
DIRECTOR
50585 BAPTIST CHURCH DR
LEBANON OR 97355
| Organization’s website | NOT APPLICABLE |
|---|---|
| Organization’s email | FAITHCOMMUNITYHEALTHNETWORK@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/2/2021 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E90 - Nursing Services (General) |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | DEBORAH FELLCARLSON |
| Signature Title | PRESIDENT |
| Signature Date | 9/12/2021 |
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