FORM 1023-EZ for PANACEIA HEALTH CENTER
| Field | Data |
|---|---|
| EIN | 46-4932189 |
| Case Number | EO-2014349-000306 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PANACEIA HEALTH CENTER |
| Organization’s Mailing Address | PO BOX 2974 |
| City | EVERGREEN |
| State | CO |
| ZIP | 80437-2974 |
| Accounting period End | 12 |
| Primary contact name | FAYE COMINGORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CHRISTINA FICK
DIRECTOR/PRESIDENT
28267 HIGHWAY 74
EVERGREEN CO 80439
Officer/Director/Trustee Two
FAYE COMINGORE
DIRECTOR/TREASURER
PO BOX 2974
EVERGREEN CO 80437-2974
Officer/Director/Trustee Three
ERIN JORGENSON
DIRECTOR/SECRETARY
12851 W ASBURY
LAKEWOOD CO 80228
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/2/2014 |
| Organization Incorporation State | CO |
| 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 | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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