FORM 1023-EZ for THE CITY OF YORK HEALTH CARE AUTHORITY
| Field | Data |
|---|---|
| EIN | 47-4545167 |
| Case Number | EO-2019136-000317 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CITY OF YORK HEALTH CARE AUTHORITY |
| Organization’s Mailing Address | 751 DERBY DRIVE |
| City | YORK |
| State | AL |
| ZIP | 36925 |
| Accounting period End | 12 |
| Primary contact name | LORETTA WILSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TOMMIE ARMISTEAD
BOARD MEMBER
416 ALTMAN STREET
YORK AL 36925
Officer/Director/Trustee Two
SHIRLEY BYRD
BOARD CHAIR
PO BOX 65
YORK AL 36925
Officer/Director/Trustee Three
RENEE PRINGLE
SECRETARY
PO BOX 788
YORK AL 36925
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/16/15 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E20 - Hospitals and Related Primary Medical Care Facilities |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SHIRLEY BYRD |
| Signature Title | BOARD CHAIR |
| Signature Date | 5/14/19 |
| EIN | 47-4545167 |
| Case Number | EO-2016106-000196 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CITY OF YORK HEALTH AUTHORITY |
| Organization’s Mailing Address | 751 DERBY DRIVE |
| City | YORK |
| State | AL |
| ZIP | 36925 |
| Accounting period End | 12 |
| Primary contact name | LORETTA WILSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
TOMMIE ARMISTEAD
BOARD MEMBERS
416 ALTMAN STREET
YORK AL 36925
Officer/Director/Trustee Two
SHIRLEY BRYD
BOARD CHAIR
PO BOX 65
YORK AL 36925
Officer/Director/Trustee Three
RENEE PRINGLES
SECRETARY
PO BOX 788
YORK AL 36925
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/16/2015 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E20 - Hospitals and Related Primary Medical Care Facilities |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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