| Field | Data |
|---|---|
| EIN | 66-0967496 |
| Case Number | EO-2021265-000464 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLINICA DE SALUD DEL OESTE INC |
| Organization’s Mailing Address | 126 CALLE PAVIA FERNANDEZ STE |
| City | SAN SEBASTIAN |
| State | PR |
| ZIP | 00685 |
| Accounting period End | 4 |
| Primary contact name | ANA CRISTINA RIOS MENDEZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANA CRISTINA RIOS MENDEZ
CEO
HC 01 BOX 11383
SAN SEBASTIAN PR 00685
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/3/2021 |
| Organization Incorporation State | PR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | ANA CRISTINA RIOS MENDEZ |
| Signature Title | CEO |
| Signature Date | 9/20/2021 |
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