| Field | Data |
|---|---|
| EIN | 82-5065577 |
| Case Number | EO-2018141-000146 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CONTRA COSTA COMMUNITY OUTREACH CLINIC AND LABORATORY |
| Organization’s Mailing Address | 4041 LONETREE WAY SUITE 101 |
| City | ANTIOCH |
| State | CA |
| ZIP | 94531 |
| Accounting period End | 12 |
| Primary contact name | TIMOTHY MULGREW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TIMOTHY MULGREW
DIRECTOR
1390 WILLOW PASS ROAD STE 360
CONCORD CA 94520
STACEY OROZCO
EXECUTIVE DIRECTOR
2145 FAIRVIEW AVENUE
BRENTWOOD CA 94513
BULMARO OROZCO
DIRECTOR
2145 FAIRVIEW AVENUE
BRENTWOOD CA 94513
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/14/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TIMOTHY MULGREW |
| Signature Title | DIRECTOR |
| Signature Date | 5/16/18 |
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