| Field | Data |
|---|---|
| EIN | 87-1142032 |
| Case Number | EO-2021193-000792 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INLAND EMPIRE FREE CLINIC |
| Organization’s Mailing Address | 1501 VIOLET ST OFFICE 386 |
| City | COLTON |
| State | CA |
| ZIP | 92324 |
| Accounting period End | 6 |
| Primary contact name | LOUISE ANNE BORDA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JOHNY TRAN
CHIEF EXECUTIVE OFFICER
1501 VIOLET ST OFFICE 386
COLTON CA 92324
JUDE BANIHANI
VICE PRESIDENT
1501 VIOLET ST OFFICE 386
COLTON CA 92324
KHWAJA AHMAD
CHIEF FINANCIAL OFFICER
1501 VIOLET ST OFFICE 386
COLTON CA 92324
DANIELA SHIRAZI
SECRETARY
1501 VIOLET ST OFFICE 386
COLTON CA 92324
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/7/2020 |
| Organization Incorporation State | CA |
| 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 | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JOHNY TRAN |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 7/8/2021 |
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