FORM 1023-EZ for ELIFE99 HEALTH FOUNDATION

Field Data
EIN 83-2068327
Case Number EO-2018302-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELIFE99 HEALTH FOUNDATION
Organization’s Mailing Address 675 YGNACIO VALLEY RD
City WALNUT CREEK
State CA
ZIP 94404
Accounting period End 9
Primary contact name WENXING TAO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIBING SHAO
CEO
3009 SONSILLA LN
SAN RAMON CA 94582

Officer/Director/Trustee Two

WENXING TAO
SECRETARY
2570 HARLOW LANE
SAN RAMON CA 94582-5790

Officer/Director/Trustee Three

TIMOTHY WEI
CHIEF MEDICAL OFFICER
815 BUCKINGHAM PL
DANVILLE CA 94506

Officer/Director/Trustee Four

SHENGQIU LIU
CTO
7089 HYACINTHUS LN
SAN RAMON CA 94582

Officer/Director/Trustee Five

YONG YU
CFO
1080 SUNSHINE CIR
DANVILLE CA 94506

Organization’s website WWW.ELIFE99.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/18
Organization Incorporation State CA
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: 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 WENXING TAO
Signature Title SECRETARY
Signature Date 10/24/18

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