FORM 1023-EZ for COMMUNITY HEALTH CARE FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-2896255 |
| Case Number | EO-2021064-001359 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY HEALTH CARE FOUNDATION |
| Organization’s Mailing Address | 406 E VANDERBILT WAY |
| City | SAN BERNARDINO |
| State | CA |
| ZIP | 92408 |
| Accounting period End | 12 |
| Primary contact name | IRVIN OLIVARES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
IRVIN OLIVARES
CEO
406 E VANDERBILT WAY
SAN BERNARDINO CA 92408-3552
Officer/Director/Trustee Two
CRYSTAL OLIVARES
SECRATARY
406 E VANDERBILT WAY
SAN BERNARDINO CA 92408-3552
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/23/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| 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 | Yes |
| 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 | IRVIN OLIVARES |
| Signature Title | CEO |
| Signature Date | 1/11/2021 |
| EIN | 81-2896255 |
| Case Number | EO-2016169-000139 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY HEALTH CARE FOUNDATION |
| Organization’s Mailing Address | 406 E VANDERBILT WAY |
| City | SAN BERNARDINO |
| State | CA |
| ZIP | 92408 |
| Accounting period End | 12 |
| Primary contact name | TAMARA PINEDA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
IRVIN OLIVARES
PRESIDENT
406 E VANDERBILT WAY
SAN BERNARDINO CA 92408
Officer/Director/Trustee Two
CRYSTAL KANO OLIVARES
SECRETARY
406 E VANDERBILT WAY
SAN BERNARDINO CA 92408
Officer/Director/Trustee Three
RICHARD MAYER
VICE PRESIDENT
406 E VANDERBILT WAY
SAN BERNARDINO CA 92408
Officer/Director/Trustee Four
IRVIN OLIVARES
TREASURER
406 E VANDERBILT WAY
SAN BERNARDINO CA 92408
| Organization’s website | N/A |
|---|---|
| Organization’s email | IRVIN.CHFINC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/23/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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