FORM 1023-EZ for VIVA HEALTH

Field Data
EIN 85-3587714
Case Number EO-2021064-002155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIVA HEALTH
Organization’s Mailing Address 3085 ECLIPSE RIDGE LANE
City LAS CRUCES
State NM
ZIP 88011
Accounting period End 12
Primary contact name GEOFFREY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALFREDO GARCIA
PRESIDENT
3085 ECLIPSE RIDGE LANE
LAS CRUCES NM 88011

Officer/Director/Trustee Two

LAURA GARCIA
VICE PRESIDENT
3085 ECLIPSE RIDGE LANE
LAS CRUCES NM 88011

Officer/Director/Trustee Three

SOPHIA GARCIA
SR. VICE PRESIDENT
3085 ECLIPSE RIDGE LANE
LAS CRUCES NM 88011

Officer/Director/Trustee Four

GEOFFREY LEWIS
CHAIRMAN
7140 LAS VISTAS DRIVE
LAS CRUCES NM 88005

Officer/Director/Trustee Five

LISA LEWIS
BOARD SECRETARY
7140 LAS VISTAS DRIVE
LAS CRUCES NM 88005

Organization’s website
Organization’s email GEOFFLEWIS@LEWISLIMITED.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 Yes
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 GEOFFREY LEWIS
Signature Title CHAIRMAN
Signature Date 1/14/2021

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