FORM 1023-EZ for ONE SUN HEALTH

Field Data
EIN 47-0991205
Case Number EO-2014295-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE SUN HEALTH
Organization’s Mailing Address 35 KIPP STREET
City CHAPPAQUA
State NY
ZIP 10514
Accounting period End 12
Primary contact name MOLLY SIMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATIE GUIDERA
DIRECTOR AND PRESIDENT
4681 DICKINSON WAY
DOYLESTOWN PA 18902

Officer/Director/Trustee Two

SARAH COX
DIRECTOR AND TREASURER
2743 HALLMARK DRIVE
Belmont CA 94002

Officer/Director/Trustee Three

MOLLY SIMON
DIRECTOR
35 KIPP STREET
CHAPPAQUA NY 10514

Officer/Director/Trustee Four

DANIELLE JESSEN
DIRECTOR
1704 ANCHOR COURT
POINT PLEASANT NJ 08742

Organization’s website HTTP://WWW.ONESUNHEALTH.ORG
Organization’s email ONESUNHEALTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2014
Organization Incorporation State NY
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: 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 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
Signature Title
Signature Date

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