| Field | Data |
|---|---|
| EIN | 82-5372657 |
| Case Number | EO-2018268-000358 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PREMIER MOBILE HEALTH SERVICES CORPORATION |
| Organization’s Mailing Address | 317 PENNFIELD STREET |
| City | LEHIGH ACRES |
| State | FL |
| ZIP | 33974 |
| Accounting period End | 9 |
| Primary contact name | NADINE SINGH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
NADINE SINGH
PRESIDENT
317 PENNFIELD STREET
LEHIGH ACRES FL 33974
MICHAEL WELDON
VICE PRESIDENT
11190 LAKELAND CIRCLE
FORT MYERS FL 33913
STEVEN HALL
DIRECTOR
19325 WATER OAK DRIVE
PORT CHARLOTTE FL 33948
MARY KATHLEEN WALLACE
SECRETARY
11257 LONGSHORE WAY WEST
NAPLES FL 34119
APRIL DORSEY
TREASURER
15600 BIBURY ALLEY
UPPER MARLBORO MD 20774
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/17/18 |
| 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 | Yes |
| 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 | NADINE SINGH |
| Signature Title | PRESIDENT |
| Signature Date | 9/23/18 |
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