| Field | Data |
|---|---|
| EIN | 47-2028848 |
| Case Number | EO-2014283-000131 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSION HILLSBORO MEDICAL CLINIC INCORPORATED |
| Organization’s Mailing Address | 326 FM 286 |
| City | HILLSBORO |
| State | TX |
| ZIP | 76645 |
| Accounting period End | 12 |
| Primary contact name | BECKY JONES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
REBECCA JONES
CHAIRMAN, BOARD OF DIRECTORS
422 HCR 1321
WHITNEY TX 76692
RICHARD BAILEY
VP BOARD OF DIRECTORS
109 HIGHTOWER
HILLSBORO TX 76645
JAMES EARHART JR
MEDICAL DIRECTOR
326 FM 286
HILLSBORO TX 76645
DAVID BURKETT
CHAPLAIN
145 PR 243
HILLSBORO TX 76645
RANDALL FAST
SECRETARY, TREASURER
1056 EAST ELM STREET
HILLSBORO TX 76645
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/18/2014 |
| Organization Incorporation State | TX |
| 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: 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 | 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 | 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 | |
| Signature Title | |
| Signature Date |
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