FORM 1023-EZ for AMERICAN HEALTH AND COMMUNITY SERVICES INC

Field Data
EIN 82-3034739
Case Number EO-2017297-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN HEALTH AND COMMUNITY SERVICES INC
Organization’s Mailing Address 5965-5975 SW 8TH STREET SUITE B
City MIAMI
State FL
ZIP 33144
Accounting period End 12
Primary contact name ABRAHAM ZIADEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIAGNYS GARCIA
PRESIDENT
5965-5975 SW 8TH ST SUITE B
MIAMI FL 33144

Officer/Director/Trustee Two

MARITZA VALDES
SECRETARY
5965-5975 SW 8TH ST SUITE B
MIAMI FL 33144

Officer/Director/Trustee Three

JOAQUIN HECHAVARRIA
TREASURER
5965-5975 SW 8TH ST SUITE B
MIAMI FL 33144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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