FORM 1023-EZ for CENTER FOR HEALTHCARE ANALYTICS INC

Field Data
EIN 85-3089892
Case Number EO-2020267-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR HEALTHCARE ANALYTICS INC
Organization’s Mailing Address 2355 ROSSMERE ST
City COLORADO SPGS
State CO
ZIP 80919-4838
Accounting period End 12
Primary contact name CORDT KASSNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORDT KASSNER - PHD
PRESIDENT TREASURER
2355 ROSSMERE ST
COLORADO SPGS CO 80919-4838

Officer/Director/Trustee Two

CASEY FRANK - JD
VICE PRESIDENT SECRETARY
1357 N WILLIAMS ST - 307
DENVER CO 80218-2610

Officer/Director/Trustee Three

BARBARA STATLAND - MD
BOARD MEMBER
13321 W MONTANA AVE
LAKEWOOD CO 80228-3725

Organization’s website WWW.CENTERHEALTHCAREANALYTICS.ORG
Organization’s email CKASSNER@HOSPICEANALYTICS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 CORDT KASSNER - PHD
Signature Title PRESIDENT TREASURER
Signature Date 9/21/2020

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