FORM 1023-EZ for NEVADA HEALTH ALLIANCE INC

Field Data
EIN 83-3506749
Case Number EO-2019072-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEVADA HEALTH ALLIANCE INC
Organization’s Mailing Address 6765 WEST CHARLESTON BLVD SUITE 110
City LAS VEGAS
State NV
ZIP 89146-2001
Accounting period End 12
Primary contact name ROXANA VALETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMITABH SINGH
PRESIDENT
6765 WEST CHARLESTON BLVD SUITE 110
LAS VEGAS NV 89146-2001

Officer/Director/Trustee Two

AMY MESKOW
SECRETARY
6765 WEST CHARLESTON BLVD SUITE 110
LAS VEGAS NV 89146-2001

Officer/Director/Trustee Three

AVNI SINGH
TREASURER
6765 WEST CHARLESTON BLVD SUITE 110
LAS VEGAS NV 89146-2001

Officer/Director/Trustee Four

LEONET AMET PEREZ
DIRECTOR
6765 WEST CHARLESTON BLVD SUITE 110
LAS VEGAS NV 89146-2001

Officer/Director/Trustee Five

AMITABH SINGH
DIRECTOR
6765 WEST CHARLESTON BLVD SUITE 110
LAS VEGAS NV 89146-2001

Organization’s website
Organization’s email PV.CONSULTING.CHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 AMITABH SINGH
Signature Title DIRECTOR
Signature Date 3/11/19

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