FORM 1023-EZ for LA FIMILIA COMMUNITY HEALTH INC

Field Data
EIN 85-2919518
Case Number EO-2020297-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA FIMILIA COMMUNITY HEALTH INC
Organization’s Mailing Address 3022 HENDRICKS CHAPEL LANE
City CHARLOTTE
State NC
ZIP 28216
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GILBERTO LORENZANA
PRESIDENT
3022 HENDRICKS CHAPEL LANE
CHARLOTTE NC 28216

Officer/Director/Trustee Two

MIGUEL PIMENTEL
SECRETARY
5509 SUNCREST COURT
CHARLOTTE NC 28215

Officer/Director/Trustee Three

IRIS RODRIGUEZ
TREASURER
1409 OLD TREE LANE
CHARLOTTE NC 28216

Officer/Director/Trustee Four

MARITZA ESCOBAR
DIRECTOR
8200 SUNFLOWER ROAD
CHARLOTTE NC 28227

Officer/Director/Trustee Five

VALENTINA LORENZANA
DIRECTOR
3022 HENDRICKS CHAPEL LANE
CHARLOTTE NC 28216

Organization’s website
Organization’s email LOR13KGE@YAHOO.COM.SG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GILBERTO LORENZANA
Signature Title PRESIDENT
Signature Date 10/20/2020

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