| Field | Data |
|---|---|
| EIN | 83-2559872 |
| Case Number | EO-2019029-000227 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEALTHY VALLEJO COMMUNITY SUPPORT SERVICES |
| Organization’s Mailing Address | 86 STONECREEK DR |
| City | AMERICAN CANYON |
| State | CA |
| ZIP | 95834 |
| Accounting period End | 12 |
| Primary contact name | ANTHONY SUMMERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANTHONY SUMMERS
PRESIDENT
86 STONCREEK DR
AMERICAN CANYON CA 94589
JOYCE COOLSEY JAMES
SECRETARY
179 CAFARO CIRCLE
SACRAMENTO CA 95834
RACHELLE SUMMERS
CHEIF FINANCIAL OFFICER
86 STONECREEK DR
AMERICAN CANYON CA 94589
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/9/18 |
| Organization Incorporation State | CA |
| 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: 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 | 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 | JOYCE COOLSEY JAMES |
| Signature Title | SECRETARY |
| Signature Date | 12/17/18 |
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