FORM 1023-EZ for DIABETES CENTRO DE SALUD SIN FRONTERAS

Field Data
EIN 81-0918745
Case Number EO-2016051-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIABETES CENTRO DE SALUD SIN FRONTERAS
Organization’s Mailing Address 408 E STREET
City CALEXICO
State CA
ZIP 92243
Accounting period End 12
Primary contact name ERNIE CHAVEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERNIE CHAVEZ
INITIAL DIRECTOR
408 E STREET
CALEXICO CA 92231

Officer/Director/Trustee Two

GILBERT OTERO
INITIAL DIRECTOR
408 E STREET
CALEXICO CA 92231

Officer/Director/Trustee Three

JOHN LENDERMAN
INITIAL DIRECTOR
PO BOX 2540
EL CENTRO CA 92243

Organization’s website N/A
Organization’s email DIABTESSALUDSINFRONTERAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
Financial transactions with officers Yes
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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