| Field | Data |
|---|---|
| EIN | 85-0641834 |
| Case Number | EO-2020297-000097 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PREMIUM MEDICAL CARE CORP |
| Organization’s Mailing Address | 6405 NW 36 STREET STE 111 |
| City | VIRGINIA GARDENS |
| State | FL |
| ZIP | 33166 |
| Accounting period End | 12 |
| Primary contact name | ANA MARGARITA ALVAREZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
FIDEL L ALVAREZ
PRESIDENT
7812 NW 165 TERR
MIAMI LAKES FL 33016
ANA MARGARITA ALVAREZ
DIRECTOR
631 SW 88 COURT
MIAMI FL 33174
OMNIA FERNANDEZ
DIRECTOR
11686 NW 89 PL
HIALEAH GARDENS FL 33018
OANTONIO DIAZ ABRAHANTE
DIRECTOR
8561 NW 163 TERR
MIAMI LAKES FL 33016
| Organization’s website | |
|---|---|
| Organization’s email | PREMIUMCARE64@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/20/2020 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E21 - Community Health Systems |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | FIDEL L ALVAREZ |
| Signature Title | PRESIDENT |
| Signature Date | 10/21/2020 |
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