| Field | Data |
|---|---|
| EIN | 47-3503638 |
| Case Number | EO-2015119-000262 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FLORIDA COMMUNITY HEALTH WORKER COALITION INC |
| Organization’s Mailing Address | 7200 66TH STREET NORTH |
| City | PINELLAS PARK |
| State | FL |
| ZIP | 33781 |
| Accounting period End | 12 |
| Primary contact name | CHERYL KERR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
PATRIA ALGUILA
CO-PRESIDENT
7282 55TH AVENUE EAST APT 219
BRADENTON FL 34203
BRENDALY RODRIGUEZ
CO-PRESIDENT
PO BOX 611353
MIAMI FL 33261
CHERYL KERR
SECRETARY/TREASURER
7200 66TH STREET NORTH
PINELLAS PARK FL 33781
MARTHA HICKS
DIRECTOR
3112 GLADE DRIVE
MILTON FL 32582
SORNIA JOSEPH
DIRECTOR
21 NW 203RD TERRACE APT 22B
MIAMI FL 33169
| Organization’s website | HTTP://FLORIDACHWN.PHARMACY.UFL.EDU/ |
|---|---|
| Organization’s email | KERR.CHERYL@SPCOLLEGE.EDU |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/13/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S21 - Community Coalitions |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| One Third Support Gifts | No |
| 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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