Field | Data |
---|---|
EIN | 46-1402143 |
Case Number | EO-2015331-000262 |
Form 1023-EZ version | 62014 |
Eligibility Worksheet | 1 |
Organization Name | CLARKSTON COMMUNITY HEALTH CENTER INC |
Organization’s Mailing Address | 3700 MARKET STREET SUITE E1 |
City | CLARKSTON |
State | GA |
ZIP | 30021 |
Accounting period End | 12 |
Primary contact name | SAEED RAEES |
Primary contact phone | [Hidden] |
Primary contact phone extension | [Hidden] |
Primary contact fax | [Hidden] |
User fee submitted | $400.00 |
SAEED RAEES
PRESIDENT
3700 MARKET STREET SUITE E1
CLARKSTON GA 30021
GULSHAN HARJEE
CHIEF MEDICAL OFFICER
3700 MARKET STREET SUITE E1
CLARKSTON GA 30021
YASEEN ABUBAKER
DIRECTRO
3700 MARKET STREET SUITE E1
CLARKSTON GA 30021
Organization’s website | |
---|---|
Organization’s email | |
Organization Incorporated | Yes |
Organization trust | No |
Necessary Organizing Documents | Yes |
Organization Incorporation Date | 5/17/2012 |
Organization Incorporation State | GA |
Contains Limitation | Yes |
Does not expressly empower | Yes |
Contains dissolution | Yes |
National Taxonomy of Exempt Entities (NTEE) code | E21 - Community Health Systems |
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 | Yes |
Seeking Section 7 Reinstatement | No |
Correctness Declaration | Yes |
Signature Name | |
Signature Title | |
Signature Date |
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