FORM 1023-EZ for ST EDITH HEALTHCARE FOUNDATION INC

Field Data
EIN 85-1782011
Case Number EO-2020198-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST EDITH HEALTHCARE FOUNDATION INC
Organization’s Mailing Address 5813 BURGUNDY ROSE DR
City FT WORTH
State TX
ZIP 76123
Accounting period End 12
Primary contact name KEVIN SCHADICK ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDITH FUNTONG
DIRECTOR - PRESIDENT
5813 BURGUNDY ROSE DR
FT. WORTH TX 76123

Officer/Director/Trustee Two

EDITH CHUNG
DIRECTOR - SECRETARY
700 TIMBEROAKS LANE APT 8104
GRANDEPRAIRIE TX 75051

Officer/Director/Trustee Three

ROBERT BIBANGDIA
DIRECTOR - TREASURER
10744 GEMSBUCK LODGE
SAN ANTONIO TX 78245

Officer/Director/Trustee Four

DANIEL FUNTONG
DIRECTOR
5813 BURGUNDY ROSE DR
FT. WORTH TX 76123

Officer/Director/Trustee Five

BONGEH JERRETT
DIRECTOR
1414 WICKERSHAM LANE APT1424
AUSTIN TX 78741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
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 EDITH FUNTONG
Signature Title DIRECTOR - PRESIDENT
Signature Date 7/14/2020

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