FORM 1023-EZ for BRIDGED HEALTHCARE

Field Data
EIN 83-4335668
Case Number EO-2021063-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIDGED HEALTHCARE
Organization’s Mailing Address 126 US HWY 181 N
City FLORESVILLE
State TX
ZIP 78114
Accounting period End 12
Primary contact name SANAM BHAKTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANAM BHAKTA
EXECUTIVE DIRECTOR
126 US HWY 181 N
FLORESVILLE TX 78114

Officer/Director/Trustee Two

SHIVAM BHAKTA
EXECUTIVE DIRECTOR
11811 LILAC VALLEY LN
CYPRESS TX 77433

Officer/Director/Trustee Three

PRALAHAD RAMAN
EXECUTIVE DIRECTOR
112 SOUTH ACCESS RD
LONGVIEW TX 75603

Organization’s website bridgedhealth.org
Organization’s email bridgedhealth@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: No
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 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 SANAM BHAKTA
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/28/2020

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