FORM 1023-EZ for COMMUNITY HEALTHCARE SERVICES

Field Data
EIN 83-2779043
Case Number EO-2018348-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY HEALTHCARE SERVICES
Organization’s Mailing Address 4008 SHORELINE DR
City SPRING PARK
State MN
ZIP 55384
Accounting period End 12
Primary contact name SOPHIA KENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOPHIA KENTON
PRESIDENT/DIRECTOR/TRUSTEE
7748 COLDWATER CANYON AVE
NORTH HOLLYWOOD CA 91605

Officer/Director/Trustee Two

CASSONDRA KENTON
DIRECTOR/TRUSTSS
1304 ELMWOOD AVE
ORONO MN 55364

Officer/Director/Trustee Three

BRENT LAURENT
DIRECTOR/TRUSTEE
4004 SHORELINE DRIVE
SPRINGPARK MN 55384

Organization’s website COMMUNITYHEALTHCARESERVICES.ORG
Organization’s email COMMUNITYHEALTHCARESERVICES@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/18
Organization Incorporation State MN
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: 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 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 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 SOPHIA KENTON
Signature Title PRESIDENT/DIRECTOR/TRUSTEE
Signature Date 12/12/18

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