FORM 1023-EZ for CENTER FOR 4TH TRIMESTER CARE

Field Data
EIN 87-0827082
Case Number EO-2021146-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR 4TH TRIMESTER CARE
Organization’s Mailing Address 570 EAGLE NEST CT
City GOLDEN
State CO
ZIP 80401
Accounting period End 12
Primary contact name MICHELLE HAGGERTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE HAGGERTY
DO
4801 15TH AVE S
MINNEAPOLIS MN 55417

Officer/Director/Trustee Two

SONAL PATEL
MD
570 EAGLE NEST CT
GOLDEN CO 80401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
Religious: No
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 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 MICHELLE HAGGERTY
Signature Title DO
Signature Date 5/24/2021

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