FORM 1023-EZ for SPERANZA HEALTH

Field Data
EIN 81-3000608
Case Number EO-2016215-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPERANZA HEALTH
Organization’s Mailing Address 1437 HERSCHEL AVENUE
City CINCINNATI
State OH
ZIP 45208
Accounting period End 12
Primary contact name JONATHAN TIAO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN TIAO
LEAD DEVELOPER
1437 HERSCHEL AVENUE
CINCINNATI OH 45208

Officer/Director/Trustee Two

MARTIN SHAPIRO
PRODUCT MANAGER
616 N ELM DRIVE
BEVERLY HILLS CA 90210

Officer/Director/Trustee Three

JINGYI LIU
DIRECTOR
8S304 ADAMS STREET
DARIEN IL 60561

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: No
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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