| Field | Data |
|---|---|
| EIN | 30-0770505 |
| Case Number | EO-2021093-000230 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GULF COAST HEALTH INFORMATION ASSOCIATION |
| Organization’s Mailing Address | 10801 STARKEY RD SUITE 104 410 |
| City | SEMINOLE |
| State | FL |
| ZIP | 33777 |
| Accounting period End | 12 |
| Primary contact name | JAMES R PFEIFFER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JAMES PFEIFFER
ASST TREASURER
10633 MARSHA DR
NEW PORT RICHEY FL 34655
KENGIA SABREE
TREASURER
10801 STARKEY RD SUITE 104 410
SEMINOLE FL 33777
TIFFANY EDWARDS
PRESIDENT
10801 STARKEY RD SUITE 104 410
SEMINOLE FL 33777
TRIVIA KIMBOROUGH
PRESIDENT ELECT
10801 STARKEY RD SUITE 104 410
SEMINOLE FL 33777
RENIKA JORDAN
SECTARY
10801 STARKEY RD SUITE 104 410
SEMINOLE FL 33777
| Organization’s website | HTTPS://WWW.GCHIMA.ORG/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/27/2013 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E80 - Health, General and Financing |
| 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TIFFANY EDWARDS |
| Signature Title | PRESIDENT |
| Signature Date | 2/27/2021 |
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