FORM 1023-EZ for HEALTHTECH WOMEN

Field Data
EIN 47-2097811
Case Number EO-2017328-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHTECH WOMEN
Organization’s Mailing Address 1540 GREENWICH ST NUMBER 202
City SAN FRANCISCO
State CA
ZIP 94123
Accounting period End 9
Primary contact name SAMY BASTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA BRENNER
PRESIDENT AND CHAIRMAN
1540 GREENWICH ST NUMBER 202
SAN FRANCISCO CA 94123

Officer/Director/Trustee Two

ADITI DEEG
CHIEF OPERATING OFFICER
1540 GREENWICH ST NUMBER 202
SAN FRANCISCO CA 94123

Organization’s website HTTP://HEALTHTECHWOMEN.COM/
Organization’s email CARLA@HEALTHTECHWOMEN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-2097811
Case Number EO-2014357-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHTECH WOMEN
Organization’s Mailing Address 1540 GREENWICH ST NUMBER 202
City SAN
State CA
ZIP 94123
Accounting period End 12
Primary contact name CARLA BRENNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLA BRENNER
PRESIDENT AND CHAIRMAN
1540 GREENWICH ST 202
SAN FRANCISCO CA

Officer/Director/Trustee Two

AMANDA MORK
SECRETARY AND DIRECTOR
1540 GREENWICH ST 202
SAN FRANCISCO CA

Officer/Director/Trustee Three

JULIA RASOOLY
TREASURER AND DIRECTOR
1540 GREENWICH ST 202
SAN FRANCISCO CA

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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