FORM 1023-EZ for COMMUNITY HEALTH MATTERS

Field Data
EIN 82-2860547
Case Number EO-2019266-000559
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY HEALTH MATTERS
Organization’s Mailing Address 1094 WHITEPINE COURT
City CINCINNATI
State OH
ZIP 45255
Accounting period End 12
Primary contact name MEREDITH POTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEREDITH POTTER
PRESIDENT
1094 WHITE PINE CT
CINCINNATI OH 45255

Officer/Director/Trustee Two

BRYNN WALDEN
TREASURER
PO BOX 182
NEW RICHMOND OH 45157

Officer/Director/Trustee Three

DANELLE JENKINS
SECRETARY
4221 BROWNWAY AVE APT 1
CINCINNATI OH 45209

Officer/Director/Trustee Four

KAREN BROCK
DIRECTOR
490 B MAPLE LEAF DRIVE
CINCINNATI OH 45255

Organization’s website HTTP://WWW.COMMUNITYHEALTHMATTERS.NET
Organization’s email MEREDITH@COMMUNITYHEALTHMATTERS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 MEREDITH POTTER
Signature Title PRESIDENT
Signature Date 9/20/19

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