FORM 1023-EZ for VALOR HEALTH AND FITNESS INC

Field Data
EIN 83-3880133
Case Number EO-2019115-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALOR HEALTH AND FITNESS INC
Organization’s Mailing Address 2330 VANGUARD WAY SUITE D201
City COSTA MESA
State CA
ZIP 92626
Accounting period End 12
Primary contact name DONNY MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUENTIN PULLEN
PRESIDENT/TREASURER/DIRECTOR
2330 VANGUARD WAY SUITE D201
COSTA MESA CA 92626

Officer/Director/Trustee Two

NORA PULLEN
CEO/SECRETARY/DIRECTOR
2330 VANGUARD WAY SUITE D201
COSTA MESA CA 92626

Officer/Director/Trustee Three

DEAN PERERIA
DIRECTOR
19809 BRIARLY LANE
HUNTINGTON BEACH CA 92646

Officer/Director/Trustee Four

MICHAEL PERERIA
DIRECTOR
24 OHIO
IRVINE CA 92606

Officer/Director/Trustee Five

CARLY STEIN
DIRECTOR
1856 POMONA AVENUE UNIT 1
COSTA MESA CA 92626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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 QUENTIN PULLEN
Signature Title PRESIDENT/TREASURER/DIRECTOR
Signature Date 4/23/19

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