| Field | Data |
|---|---|
| EIN | 75-1703723 |
| Case Number | EO-2019346-000185 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PERMIAN REGIONAL MEDICAL FOUNDATION |
| Organization’s Mailing Address | 720 |
| City | ANDREWS |
| State | TX |
| ZIP | 79714 |
| Accounting period End | 12 |
| Primary contact name | MORGAN MASON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
CAROL BOSWELL
CHAIR
720 HOSPITAL DRIVE
ANDREWS TX 79714
DONALD BOOTH
VICE CHAIR
720 HOSPITAL DRIVE
ANDREWS TX 79714
MORGAN MASON
TREASURER
720 HOSPITAL DRIVE
ANDREWS TX 79714
ANDREA WARNKE
SECRETARY
720 HOSPITAL DRIVE
ANDREWS TX 79714
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/19/1980 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | DONALD BOOTH |
| Signature Title | VICE CHAIR |
| Signature Date | 12/10/2019 |
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