FORM 1023-EZ for HEALTH AND FITNESS FOUNDATION OF NEVADA

Field Data
EIN 81-1626731
Case Number EO-2016081-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH AND FITNESS FOUNDATION OF NEVADA
Organization’s Mailing Address 3651 LINDELL RD SUITE D-794
City LAS VEGAS
State NV
ZIP 89103
Accounting period End 12
Primary contact name RAYMOND WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAYMOND WILSON
PRESIDENT
3651LINDELL RD SUITE D-794
LAS VEGAS NV 89103

Officer/Director/Trustee Two

ALYSSA NICOLE LUMIBAO
SECRETARY
3651 LINDELL RD SUITE D-794
LAS VEGAS NV 89103

Officer/Director/Trustee Three

LANY ORLANDA
TREASURER
3651 LINDELL RD SUITE D-794
LAS VEGAS NV 89103

Officer/Director/Trustee Four

JOHN VOGELE
DIRECTOR
2308 CHAPMAN DR
LAS VEGAS NV 89104

Officer/Director/Trustee Five

RAYMOND WILSON
DIRECTOR
3651 LINDELL RD SUITE D-794
LAS VEGAS NV 89103

Organization’s website WWW.HEALTHFITNESSFOUNDATIONNV.ORG
Organization’s email RAY@HEALTHFITNESSFOUNDATIONNV.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
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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