| Field | Data |
|---|---|
| EIN | 47-5519154 |
| Case Number | EO-2015313-000321 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PRIMARY CARE AT HOME |
| Organization’s Mailing Address | 1645 81ST AVENUE |
| City | OAKLAND |
| State | CA |
| ZIP | 94621 |
| Accounting period End | 6 |
| Primary contact name | ALVAN QUAMINA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
ANTHONY JONES
CHAIR
400 29TH STREET
OAKLAND CA 94609
TIM NGUYEN
SECRETARY
2052 MCGEE AVENUE
BERKELEY CA 94703
ALVAN QUAMINA
TREASURER
1645 81ST AVENUE
OAKLAND CA 94621
ANH NGUYEN
BOARD MEMBER
1017 HOLLY STREET
ALAMEDA CA 94502
MANUEL MENDIVIL
BOARD MEMBER
2751 MONUMENT BLVD SUITE 36
CONCORD CA 94520
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/20/2015 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E99 - Health - General and Rehabilitative N.E.C. |
| 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 | |
| Signature Title | |
| Signature Date |
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