FORM 1023-EZ for CENTRO DE MEDICINA Y CIRUGIA AMBULATORIA DE SAN SEBASTIAN INC
| Field | Data |
|---|---|
| EIN | 66-0825286 |
| Case Number | EO-2014251-000428 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CENTRO DE MEDICINA Y CIRUGIA AMBULATORIA DE SAN SEBASTIAN INC |
| Organization’s Mailing Address | PO BOX 486 |
| City | SAN SEBASTIAN |
| State | PR |
| ZIP | 00685 |
| Accounting period End | 12 |
| Primary contact name | VICTOR MIRANDA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
EDUARDO RODRIGUEZ
PRESIDENT
URB LA ESTANCIA CALLE MAYORAL 1
SAN SEBASTIAN PR 00685
Officer/Director/Trustee Two
VIVIAN FELICIANO
VICE PRESIDENT
COND PELICAN REEF 403
RINCON PR 00677
Officer/Director/Trustee Three
VICTOR MIRANDA
TREASURER
URB INMACULADA CONCEPCION B-14
LAS MARIAS PR 00670
Officer/Director/Trustee Four
NANETTE NOVALES
SECRETARY
URB HACIENDAS DE BORINQUEN II
LARES PR 00669
Officer/Director/Trustee Five
RUBEN CORDERO
ASSISTANT SECRETARY
BO CERRO GORDO CARR 495
MOCA PR 00676
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/21/2014 |
| Organization Incorporation State | PR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| Organization’s purpose | Charitable: Yes 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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