FORM 1023-EZ for PARTNERSHIP FOR COMMUNITY HEALTH INC

Field Data
EIN 26-4488970
Case Number EO-2017079-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARTNERSHIP FOR COMMUNITY HEALTH INC
Organization’s Mailing Address 4740 N STATE ROAD 7
City FT LAUDERDALE
State FL
ZIP 33319
Accounting period End 12
Primary contact name EDWARD LACASA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEIKE SHEA
DIRECTOR
4043 W LAKE ESTATES DR
DAVIE FL 33328

Officer/Director/Trustee Two

ADAM GRANT
DIRECTOR
1230 S NON HILL ROAD
DAVIE FL 33325

Officer/Director/Trustee Three

JOHN HENSON
DIRECTOR
220 S AUDUBON AVE
TAMPA FL 33609

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2008
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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