FORM 1023-EZ for SOUTH FLORIDA HEALTH COLLABORATIVEINC

Field Data
EIN 84-3626824
Case Number EO-2020217-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH FLORIDA HEALTH COLLABORATIVEINC
Organization’s Mailing Address 6850 CORAL WAY SUITE 310
City MIAMI
State FL
ZIP 33155
Accounting period End 12
Primary contact name NOEMI MARQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOEMI MARQUEZ
PRESIDENT DIRECTOR
6850 CORAL WAY SUITE 310
MIAMI FL 33155

Officer/Director/Trustee Two

HERMONA WILSON
DIRECTOR
6850 CORAL WAY WUITE 310
MIAMI FL 33155

Officer/Director/Trustee Three

PATRICIA ALVAREZ
TREASURER
6850 CORAL WAY SUITE 310
MIAMI FL 33155

Officer/Director/Trustee Four

NATASHA QUESADA
SECRETARY DIRECTOR
6850 CORAL WAY SUITE 310
MIAMI FL 33155

Organization’s website WWW.SFHEALTHC.ORG
Organization’s email SFHEALTHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 NOEMI MARQUEZ
Signature Title PRESIDENT DIRECTOR
Signature Date 8/2/2020

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