FORM 1023-EZ for WNY COMMUNITY HEALTH CENTERS INC

Field Data
EIN 84-4738678
Case Number EO-2020132-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WNY COMMUNITY HEALTH CENTERS INC
Organization’s Mailing Address 5792 MIAN STREET
City WILLIAMSVILLE
State NY
ZIP 14221
Accounting period End 12
Primary contact name RALPH R HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RALPH HERNANDEZ
TRUSTEE
1217 LIVINGSTON STREET
BUFFALO NY 14213

Officer/Director/Trustee Two

RIFFAT SADIQ
TRUSTEE
9 BOBBIE LANE
WILLIAMSVILLE NY 14221

Officer/Director/Trustee Three

FAIZAN HAQ
TRUSTEE
9 BOBBIE LANE T
WILLIAMSVILLE NY 14221

Officer/Director/Trustee Four

CHANDA SADIQ
TRUSTEEE
9 BOBBIE LANE T
WILLIAMSVILLE NY 14221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State NY
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 Yes
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 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 RALPH HERNANDEZ
Signature Title TRUSTEE
Signature Date 5/7/2020

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