| Field | Data |
|---|---|
| EIN | 26-4239012 |
| Case Number | EO-2020287-000339 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEBERDEN TELEMEDICINE INC |
| Organization’s Mailing Address | 2751 4TH STREET BOX 135 |
| City | SANTA ROSA |
| State | CA |
| ZIP | 95405 |
| Accounting period End | 12 |
| Primary contact name | JAMES K GUDE MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JAMES GUDE
CHAIRMAN
1046 WINDING RIDGE ROAD
SANTA ROSA CA 95404
JOAN MARLER
SECRETARY
1645 FURLONG ROAD
SEBASTOPOL CA 95472
JONATHAN GREENBERG
TREASURER
312 PLEASANT HILL
SEBASTOPOL CA 95472
MIKEL COOK
TECHNICAL ADV ISOR
456 EILEEN DRIVE
SEBASTOPOL CA 95472
ART GRUEN
MEDICAL ADVISOR
12230 WORLD TRADE DRIVE
SAN DIEGO CA 92128
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/5/2008 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | JAMES GUDE |
| Signature Title | CHAIRMAN |
| Signature Date | 10/8/2020 |
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