| Field | Data |
|---|---|
| EIN | 87-1169576 |
| Case Number | EO-2021179-000274 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MARIN TELEHEALTH INC |
| Organization’s Mailing Address | 1245 COUNTRY CLUB RD STE 200 |
| City | SANTA TERESA |
| State | NM |
| ZIP | 88008 |
| Accounting period End | 12 |
| Primary contact name | TANYA MARIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TANYA MARIN
DIRECTOR
1245 COUNTRY CLUB RD STE 200
SANTA TERESA NM 88008
| Organization’s website | |
|---|---|
| Organization’s email | TANYAMARIN.TM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/17/2021 |
| Organization Incorporation State | NM |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E31 - Group Health Practice (Health Maintenance Organizations) |
| Organization’s purpose | Charitable: No Religious: No 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 | Yes |
| 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 | TANYA MARIN |
| Signature Title | DIRECTOR |
| Signature Date | 6/25/2021 |
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