FORM 1023-EZ for CHRIST CHURCH HOSPITAL

Field Data
EIN 81-2926590
Case Number EO-2018037-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRIST CHURCH HOSPITAL
Organization’s Mailing Address 7750 OKEECHOBEE BLVD 4 4
City WEST PALM BEACH
State FL
ZIP 33411
Accounting period End 7
Primary contact name JOHN SINGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SINGH
DIRECTOR OF FUND RAISING
7750 OKEECHOBEE BLVD SU 4 4
WEST PALM BEACH FL 33411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
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 JOHN SINGH
Signature Title DIRECTOR OF FUND RAISING
Signature Date 2/4/18

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