FORM 1023-EZ for FREEDOM COMMUNITY CLINIC

Field Data
EIN 83-4249837
Case Number EO-2021049-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREEDOM COMMUNITY CLINIC
Organization’s Mailing Address 790 COLUSA DRIVE
City WALNUT
State CA
ZIP 91789
Accounting period End 12
Primary contact name BERNADETTE LIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNADETTE LIM
DIRECTOR
790 COLUSA DRIVE
WALNUT CA 91789

Officer/Director/Trustee Two

KRISTA WASHINGTON
DIRECTOR
1977 PLEASANT VALLEY AVE
OAKLAND CA 94611

Officer/Director/Trustee Three

ALEXIS COOKE
DIRECTOR
6611 DOVER ST
OAKLAND CA 94609

Officer/Director/Trustee Four

SABRINA VALADEZ-RIOS
DIRECTOR
866 56TH ST
OAKLAND CA 94608

Officer/Director/Trustee Five

TIFFANY LOPEZ
DIRECTOR
1951 42ND AVE
OAKLAND CA 94601

Organization’s website
Organization’s email info@freedomcommunityclinic.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BERNADETTE LIM
Signature Title DIRECTOR
Signature Date 12/24/2020

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