FORM 1023-EZ for ESRD HEALTHCARE AMBASSADORS
| Field | Data |
|---|---|
| EIN | 85-2792746 |
| Case Number | EO-2021083-000832 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ESRD HEALTHCARE AMBASSADORS |
| Organization’s Mailing Address | 2020 COFFEE RD STE G1 |
| City | MODESTO |
| State | CA |
| ZIP | 95355 |
| Accounting period End | 12 |
| Primary contact name | CATHERINE KORELIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CATHERINE KORELIN
PRESIDENT
4125 MCHENRY AVE SPC 43
MODESTO CA 95356
Officer/Director/Trustee Two
BYRON ISON
VICE PRESIDENT
1459 DE BOER DR
RIPON CA 95366
| Organization’s website | WWW.ESRDHEALTH.COM |
|---|---|
| Organization’s email | CONTACT@ESRDHEALTH.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/1/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| Organization’s purpose | Charitable: No 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 | No |
| Donation of funds | Yes |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CATHERINE KORELIN |
| Signature Title | PRESIDENT |
| Signature Date | 11/16/2020 |
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