FORM 1023-EZ for VIBRA OF NORTHERN CALIFORNIA HOSPITAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-1740792 |
| Case Number | EO-2019151-000147 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | VIBRA OF NORTHERN CALIFORNIA HOSPITAL FOUNDATION |
| Organization’s Mailing Address | 2801 EUREKA WAY |
| City | REDDING |
| State | CA |
| ZIP | 96001 |
| Accounting period End | 12 |
| Primary contact name | KERRY ENRIGHT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DR SCOTT ZITTEL
PRESIDENT
13263 TIERRA HEIGHTS ROAD
REDDING CA 96003
Officer/Director/Trustee Two
JONIE KOSACK
BOARD MEMBER
3888 SEA LAVENDER COURT
REDDING CA 96001
Officer/Director/Trustee Three
REBECCA ANDREWS
TREASURER
10390 HAPPY HOLLOW LANE
PALO CEDRO CA 96073
Officer/Director/Trustee Four
SHELLY JORDAN
VICE PRESIDENT
19070 LAUREL WAY
COTTONWOOD CA 96002
Officer/Director/Trustee Five
JOSHUA BROWN
SECRETARY
946 JEFFERSON STREET
RED BLUFF CA 96080
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/18/19 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E11 - Single Organization Support |
| 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 | 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 | JONIE KOSACK |
| Signature Title | BOARD MEMBER |
| Signature Date | 5/29/19 |
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