FORM 1023-EZ for CENTRAL CALIFORNIA CRITICAL CARE CONSORTIUM
| Field | Data |
|---|---|
| EIN | 77-0464166 |
| Case Number | EO-2015225-000304 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CENTRAL CALIFORNIA CRITICAL CARE CONSORTIUM |
| Organization’s Mailing Address | 6441 N WISHON AVE 103 |
| City | FRESNO |
| State | CA |
| ZIP | 93704-1162 |
| Accounting period End | 12 |
| Primary contact name | MARIO SCHILTZ TREASURER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MARIO SCHILTZ
TREASURER
6441 N WISHON AVE 103
FRESNO CA 93704-1162
Officer/Director/Trustee Two
NARDA LIGOTTI
PRESIDENT ELECT
2615 E CLINTON AVE
FRESNO CA 93703
Officer/Director/Trustee Three
ALICE EVANS
BOARD MEMBER
PO BOX 1232
FRESNO CA 93015
Officer/Director/Trustee Four
KEITH JONES
BOARD MEMBER
400 W MINERAL KING AVE
VISALIA CA 93291
Officer/Director/Trustee Five
CAROL BRADFORD
SECRETARY
869 N CHERRY ST
TULARE CA 93274
| Organization’s website | HTTP://WWW.CENTRALCALIFORNIACCC.ORG/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/1/1997 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | 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 | |
| Signature Title | |
| Signature Date |
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