FORM 1023-EZ for UNITED2CARE

Field Data
EIN 83-2925612
Case Number EO-2019031-000516
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED2CARE
Organization’s Mailing Address 20800 VALLEY GREEN DRIVE APT 429
City CUPERTINO
State CA
ZIP 95014
Accounting period End 12
Primary contact name SRINIVASA MOMMILETI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARUN MOMMILETI
PRESIDENT
20800 VALLEY GREEN DRIVE APT 429
CUPERTINO CA 95014

Officer/Director/Trustee Two

SRINIVASA MOMMILETI
SECRETARY & TREASURER
20800 VALLEY GREEN DRIVE APT 429
CUPERTINO CA 95014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SRINIVASA MOMMILETI
Signature Title SECRETARY & TREASURER
Signature Date 1/4/19

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