FORM 1023-EZ for ALIGNED HEALTH INC

Field Data
EIN 82-1459355
Case Number EO-2017144-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALIGNED HEALTH INC
Organization’s Mailing Address 400 E SIMPSON ST STE 220
City LAFAYETTE
State CO
ZIP 80026-2360
Accounting period End 12
Primary contact name JODI HODGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI HODGES
DIRECTOR/PRESIDENT/TREASURER
1526 TERRA ROSA AVE
LONGMONT CO 80501-7023

Officer/Director/Trustee Two

JASON SCHMITTLER
SECRETARY
1526 TERRA ROSA AVE
LONGMONT CO 80501-7023

Officer/Director/Trustee Three

TEKLA AYERS
DIRECTOR
994 MALORY ST
LAFAYETTE CO 80026-2932

Officer/Director/Trustee Four

RACHEL SOLUM
DIRECTOR
4855 EDISON AVE APT 313
BOULDER CO 80301-5429

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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
Signature Title
Signature Date

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