FORM 1023-EZ for INTOUCH HEALTH

Field Data
EIN 26-1118600
Case Number EO-2016116-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTOUCH HEALTH
Organization’s Mailing Address 4718 EAST FLAMINGO ROAD
City LAS VEGAS
State NV
ZIP 89121
Accounting period End 12
Primary contact name COSMAS EZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COSMAS EZE
PRESIDENT/CEO
4718 EAST FLAMINGO ROAD
LAS VEGAS NV 89121

Officer/Director/Trustee Two

DORIN EZE
SOCIAL SERVICE DIRECTOR
4718 E FLAMINGO ROAD
LAS VEGAS NV 89121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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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