FORM 1023-EZ for CDH CLINIC
| Field | Data |
|---|---|
| EIN | 85-2002090 |
| Case Number | EO-2021104-000122 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CDH CLINIC |
| Organization’s Mailing Address | 512 DELAWARE ST 14 |
| City | KANSAS |
| State | MO |
| ZIP | 64105 |
| Accounting period End | 12 |
| Primary contact name | BRANDON COVINGTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRANDON COVINGTON
DIRECTOR
4242 NE DAVIDSON RD
KANSAS CITY MO 64116
Officer/Director/Trustee Two
JOSEPHINE PAGE
TRUSTEE
106 SOUTH MOORE ST
HAYTI MO 63851
Officer/Director/Trustee Three
BRIDGET PAGE
TREASURER
586 EMPIRE ST
HAYTI MO 63851
Officer/Director/Trustee Four
BRIANA PAGE
SECRETARY
706 N 3RD ST
HAYTI MO 63851
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/16/2020 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E80 - Health, General and Financing |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: Yes 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 | BRANDON COVINGTON |
| Signature Title | DIRECTOR |
| Signature Date | 4/7/2021 |
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