FORM 1023-EZ for SAN JOAQUIN VALLEY FREE MEDICAL CLINIC AND NEEDLE EXCHANGE

Field Data
EIN 85-0876546
Case Number EO-2021063-000813
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN JOAQUIN VALLEY FREE MEDICAL CLINIC AND NEEDLE EXCHANGE
Organization’s Mailing Address 366 N VAN NESS AVE
City FRESNO
State CA
ZIP 93701
Accounting period End 12
Primary contact name MARC LASHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC LASHER
PRESIDENT / EXECUTIVE DIRECTOR
366 N VAN NESS AVE
FRESNO CA 93701

Officer/Director/Trustee Two

JOHN ZWEIFLER
VICE PRESIDENT / DIRECTOR
366 N VAN NESS AVE
FRESNO CA 93701

Officer/Director/Trustee Three

DALLAS BLANCHARD
CHIEF FINANCIAL OFFICER / DIRECTOR
366 N VAN NESS AVE
FRESNO CA 93701

Officer/Director/Trustee Four

JAMES MUGRIDGE
SECRETARY / DIRECTOR
366 N VAN NESS AVE
FRESNO CA 93701

Officer/Director/Trustee Five

PATIENCE MILROD
DIRECTOR
366 N VAN NESS AVE
FRESNO CA 93701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARC LASHER
Signature Title PRESIDENT / EXECUTIVE DIRECTOR
Signature Date 12/30/2020

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