FORM 1023-EZ for OLA SALUD HEALTHCARE

Field Data
EIN 46-2693562
Case Number EO-2017086-000524
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLA SALUD HEALTHCARE
Organization’s Mailing Address 356 SR 76
City SANTA CRUZ
State NM
ZIP 87567
Accounting period End 12
Primary contact name LIANA MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIANA MARTINEZ
OWNER
356 SR 76
SANTA CRUZ NM 87567

Officer/Director/Trustee Two

DON MARTINEZ
VICE
356 SR 76
SANTA CRUZ NM 87567

Officer/Director/Trustee Three

EDWARD ROBISON
SUB VICE
356 SR 76
SANTA CRUZ NM 87567

Officer/Director/Trustee Four

LIANA MARTINEZ
TREASURER
356 SR 76
SANTA CRUZ NM 87567

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2012
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
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 Yes
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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