| Field | Data |
|---|---|
| EIN | 84-4991597 |
| Case Number | EO-2020104-000259 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SANTA CRUZ FREE CLINIC |
| Organization’s Mailing Address | 741 CHESTNUT STREET |
| City | SANTA CRUZ |
| State | CA |
| ZIP | 95060 |
| Accounting period End | 7 |
| Primary contact name | RAMTIN POUSTINCHI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
RAMTIN POUSTINCHI
EXECUTIVE DIRECTOR
7369 ELEGANS PLACE
CARLSBAD CA 92011
KEERTANA KATURU
DEPUTY DIRECTOR
512 HONEY LACK CT
DANVILLE CA 94506
SHAY REED
MARKETING DIRECTOR
1800 SOUTH 4800 EAST
HEBER CITY UT 84032
KAUSTHUB PRODDUTURI
FINANCIAL DIRECTOR
518 ROCK AVE
FREMONT CA 94536
OVIYA HARIHARAN
OPERATIONAL DIRECTOR
10798 WILLOWBROOK WAY
CUPERTINO CA 95014
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/30/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P85 - Homeless Persons Centers, 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 | 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 | 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 | RAMTIN POUSTINCHI |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 4/10/2020 |
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