FORM 1023-EZ for COMMUNITY HEALTH AND PREVENTIVE MEDICINE CENTER OF EXCELLENCE INC
| Field | Data |
|---|---|
| EIN | 46-0639010 |
| Case Number | EO-2015103-000145 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY HEALTH AND PREVENTIVE MEDICINE CENTER OF EXCELLENCE INC |
| Organization’s Mailing Address | 1875 NEW HOPE RD |
| City | ATLANTA |
| State | GA |
| ZIP | 30331 |
| Accounting period End | 12 |
| Primary contact name | VICKIE JAMES MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
VICKIE JAMES
EXECUTIVE DIRECTOR
1875 NEW HOPE RD
ATLANTA GA 30331
Officer/Director/Trustee Two
SYLVESTER HARRIS
ASSISTANT DIRECTOR
5100 OLD BILL COOK RD
COLLEGE PARK GA 30349
Officer/Director/Trustee Three
PATRICIA NEWTON
SECRETARY
902 BRIAN LANE
FOREST PARK GA 30297
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/30/2008 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| 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 | Yes |
| 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 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
