| Field | Data |
|---|---|
| EIN | 81-1616399 |
| Case Number | EO-2016064-000216 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CONCIERGE CANCER CENTER |
| Organization’s Mailing Address | 3050 TAMARRON BLVD 6305 |
| City | AUSTIN |
| State | TX |
| ZIP | 78746 |
| Accounting period End | 12 |
| Primary contact name | KIM B BERGERON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
KIM BERGERON
FOUNDER/EXECUTIVE DIRECTOR
3050 TAMARRON BLVD APT 6305
AUSTIN TX 78746
MARK MCCLAIN
DIRECTOR
11305 FOUR POINTS DRIVE
AUSTIN TX 78726
ROZELLA HERNANDEZ
DIRECTOR
6800 BEAUFORD DRIVE
AUSTIN TX 78750
HANS SANDER
DIRECTOR
11410 JOLLYVILLE ROAD
AUSTIN TX 78759
GAIL WEBB
DIRECTOR
9407 CARACAS DRIVE
AUSTIN TX 78733
| Organization’s website | WWW.CONCIERGECANCERCENTER.COM |
|---|---|
| Organization’s email | CONCIERGECANCERCENTER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/21/2016 |
| Organization Incorporation State | TX |
| 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: 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 | 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 | |
| Signature Title | |
| Signature Date |
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