FORM 1023-EZ for HOPE COMMUNITY HEALTH CENTER

Field Data
EIN 84-3068994
Case Number EO-2019361-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE COMMUNITY HEALTH CENTER
Organization’s Mailing Address 701 LOYOLA AVENUE SUITE 108
City NEW ORLEANS
State LA
ZIP 70113
Accounting period End 12
Primary contact name MARY CLAIRE LANDRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN PEDALINO
PRESIDENT
828 FOX LANE
SAINT ROSE LA 70087

Officer/Director/Trustee Two

EVA LESSENGER
VICE-PRESIDENT
1107 S PETERS ST 528
NEW ORLEANS LA 70130

Officer/Director/Trustee Three

OMAR GARCIA
TREASURER
2721 BRADBURY ST
MERAUX LA 70075

Officer/Director/Trustee Four

CHRIS LACEFIELD
SECRETARY
2127 N RAMPART
NEW ORLEANS LA 70116

Officer/Director/Trustee Five

MARY CLAIRE LANDRY
CEO
4832 ALPHONSE
METAIRIE LA 70006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State LA
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 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 MARY CLAIRE LANDRY
Signature Title CEO
Signature Date 12/23/2019

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