FORM 1023-EZ for HEALTH EXPRESSIONS

Field Data
EIN 81-1811886
Case Number EO-2016154-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH EXPRESSIONS
Organization’s Mailing Address 834 LAKEWOOD DRIVE
City SUNNYVALE
State CA
ZIP 94089
Accounting period End 12
Primary contact name BONNIE SARMIENTO PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BONNIE SARMIENTO
PRESIDENT
834 LAKEWOOD DRIVE
SUNNYVALE CA 94089

Officer/Director/Trustee Two

ERIKA VOELKER
TREASURER
3493 MACHADO AVE
SANTA CLARA CA 95051

Officer/Director/Trustee Three

BERTHA AMBRIZ
SECRETARY
1085 TASMAN DR/ 553
SUNNYVALE CA 94089

Officer/Director/Trustee Four

ESTHER GARCIA
ADMINISTRATOR
225 BEECHNUT AVE
SUNNYVALE CA 94085

Officer/Director/Trustee Five

GABRIELA ENRIQUEZ
MARKETING
714 SANTA ROSA ST
SUNNYVALE CA 94085

Organization’s website HTTP//WWW.GATEWAYSV.ORG/ZUMBA.HTML
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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
Signature Title
Signature Date

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