FORM 1023-EZ for SANTIAM COMMUNITY HEALTH INC

Field Data
EIN 83-1113141
Case Number EO-2018201-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANTIAM COMMUNITY HEALTH INC
Organization’s Mailing Address PO BOX 549
City MONMOUTH
State OR
ZIP 97361
Accounting period End 12
Primary contact name ANGELA CORTAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA CORTAL
DIRECTOR/PRESIDENT/TREASURER
16600 FALLS CITY ROAD
DALLAS OR 97338

Officer/Director/Trustee Two

XAVIER CORTAL
SECRETARY
16600 FALLS CITY ROAD
DALLAS OR 97338

Officer/Director/Trustee Three

VALERIE FERDINAND
DIRECTOR
4940 SE WOODSTOCK BLVD
PORTLAND OR 97206

Officer/Director/Trustee Four

KATE JORGENSEN
DIRECTOR
4718 SE 115TH AVE
PORTLAND OR 97266

Organization’s website HTTPS://SANTIAMHEALTH.WEEBLY.COM/
Organization’s email SANTIAMHEALTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 ANGELA CORTAL
Signature Title DIRECTOR/PRESIDENT/TREASURER
Signature Date 7/18/18

Recently Saved Organizations

Click on the save icon from a search results or organization page.