FORM 1023-EZ for ATIENZA MEDICAL SCIENCES FOUNDATION

Field Data
EIN 85-1468538
Case Number EO-2020198-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATIENZA MEDICAL SCIENCES FOUNDATION
Organization’s Mailing Address 710 LAWRENCE EXPRESSWAY 148
City SANTA CLARA
State CA
ZIP 95051-5173
Accounting period End 12
Primary contact name CESAR ATIENZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CESAR ATIENZA
CEO
710 LAWRENCE EXPRESSWAY 148
SANTA CLARA CA 95051-5173

Officer/Director/Trustee Two

ASHIKA ATIENZA
CFO AND SECRETARY
710 LAWRENCE EXPRESSWAY 148
SANTA CLARA CA 95051-5173

Organization’s website
Organization’s email ATIENZAMEDICALSCIENCES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 CESAR ATIENZA
Signature Title CEO
Signature Date 7/14/2020

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