FORM 1023-EZ for GATEWAY COMMUNITY HEALTH

Field Data
EIN 85-2326653
Case Number EO-2020238-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GATEWAY COMMUNITY HEALTH
Organization’s Mailing Address PO BOX 25657
City RICHMOND
State VA
ZIP 23260
Accounting period End 12
Primary contact name CHARLENE L HINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLENE HINTON
DIRECTOR
3034 MOSS SIDE AVE
RICHMOND VA 23222

Officer/Director/Trustee Two

JOHN DIXON
DIRECTOR
10230 APACHE ROAD
RICHMOND VA 23235

Officer/Director/Trustee Three

HAROLD JORDAN
DIRCTOR
6204 VARINA STATION DRIVE
HENRICO VA 23231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 Yes
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 CHARLENE HINTON
Signature Title DIRECTOR
Signature Date 8/23/2020

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