FORM 1023-EZ for CASA SURIA HEALINGS

Field Data
EIN 85-1630685
Case Number EO-2020300-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASA SURIA HEALINGS
Organization’s Mailing Address 614 SW 136TH ST
City BURIEN
State WA
ZIP 98166
Accounting period End 12
Primary contact name ALMA R GUTIERREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XOCHITL GARCIA
EXECUTIVE DIRECTOR
614 SW 136TH ST
BURIEN WA 98166

Officer/Director/Trustee Two

ALMA GUTIERREZ
DIRECTOR OF OPERATIONS
4926 SW 324TH PL
FEDERAL WAY WA 98023

Organization’s website N/A
Organization’s email CASASURYAHEALING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 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 ALMA GUTIERREZ
Signature Title DIRECTOR OF OPERATIONS
Signature Date 10/22/2020

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