| Field | Data |
|---|---|
| EIN | 90-0412535 |
| Case Number | EO-2021200-000301 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DAWSON COUNTY HOSPITAL DISTRICT DBAMEDICAL ARTS HOSPITAL |
| Organization’s Mailing Address | 2200 N BRYAN AVE |
| City | LAMESA |
| State | TX |
| ZIP | 79331 |
| Accounting period End | 3 |
| Primary contact name | JO BETH SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JO BETH SMITH
EXECUTIVE DIRECTOR
2200 N BRYAN AVE
LAMESA TX 79331-2451
LETHA STOKES
BOARD MEMBER
2200 N BRYAN AVE
LAMESA TX 79331-2451
TRACI BROWN
BOARD MEMBER
2200 N BRYAN AVE
LAMESA TX 79331-2451
BRYAN NOWLIN
BOARD MEMBER
602 S 1ST
LAMESA TX 79331-2451
DALE HANSARD
BOARD MEMBER
709 N 1ST
LAMESA TX 79331-2451
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/27/2005 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E22 - Hospital, General |
| 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 | 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JO BETH SMITH |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 7/15/2021 |
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