| Field | Data |
|---|---|
| EIN | 81-4005971 |
| Case Number | EO-2017100-000424 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PRESTIGE COMMUNITY CLINIC INC |
| Organization’s Mailing Address | 110 W 7TH STREET |
| City | LAKELAND |
| State | FL |
| ZIP | 33805 |
| Accounting period End | 12 |
| Primary contact name | ANN V LOCKHART |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANN LOCKHART
PRESIDENT
110 W 7TH ST
LAKELAND FL 34759
MAXINE WIGGAN
VICE PRESIDENT
15144 SPINNAKER COVE DRIVE
WINTER GARDEN FL 34787
JENNY ORTIZ-NIEVES
SECRETARY
1422 SARASOTA DR
KISSIMMEE FL 34759
GARYANN G BAPTISTE
ASSISTANT SECRETARY
579 FINCH CT
KISSIMMEE FL 34759
SHERIAN MORTON
TREASURER
1970 MCKINLEY
CLEARWATER FL 33756
| Organization’s website | |
|---|---|
| Organization’s email | PCC.CLINIC.1@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/29/2016 |
| Organization Incorporation State | FL |
| 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 | 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 |
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