FORM 1023-EZ for VIDA SANA LOS ANGELES

Field Data
EIN 84-5004262
Case Number EO-2020119-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIDA SANA LOS ANGELES
Organization’s Mailing Address 13752 POLK STREET
City SYLMAR
State CA
ZIP 91342
Accounting period End 12
Primary contact name MARLENE LUPE MORETTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLENE MORETTI
PRESIDENT
13754 POLK STREET
SYLMAR CA 91342

Officer/Director/Trustee Two

ANDREW ALVAREZ
SECRETARY
13754 POLK STREET
SYLMAR CA 91342

Officer/Director/Trustee Three

REEMBERTO MARQUEZ
TREASURER
13754 POLK STREET
SYLMAR CA 91342

Officer/Director/Trustee Four

JOSE DOMINGUEZ
VOCAL
9060 CEDRAS AVENUE APT 9
PANORAMA CITY CA 91402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 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 MARLENE MORETTI
Signature Title PRESIDENT
Signature Date 4/25/2020

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