FORM 1023-EZ for MOHAVE HEALTH COALITION INC
| Field | Data |
|---|---|
| EIN | 86-2532400 |
| Case Number | EO-2021097-000033 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOHAVE HEALTH COALITION INC |
| Organization’s Mailing Address | 1225 HANCOCK RD STE C |
| City | BULLHEAD CITY |
| State | AZ |
| ZIP | 86442 |
| Accounting period End | 12 |
| Primary contact name | WAHEED ZEHRI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WAHEED ZEHRI
DIRECTOR PRESIDENT
1225 HANCOCK RD STE C
BULLHEAD CITY AZ 86442
Officer/Director/Trustee Two
DEBORAH BENNETT
DIRECTOR
3828 KATIE LANE LOOP
KINGMAN AZ 86401
Officer/Director/Trustee Three
CHAZ MARTINEZ
DIRECTOR
2367 E ALLEN DR
FORT MOHAVE AZ 86426
Officer/Director/Trustee Four
JENNEE MILES
DIRECTOR
3740 N HARVARD ST
KINGMAN AZ 86409
Officer/Director/Trustee Five
VIJETTE SAARI
SECRETARY
140 MESQUITE STE F
LAKE HAVASU CITY AZ 86403
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/6/2020 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S21 - Community Coalitions |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | 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 | WAHEED ZEHRI |
| Signature Title | DIRECTOR PRESIDENT |
| Signature Date | 3/10/2021 |
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