FORM 1023-EZ for HEALIANTHA

Field Data
EIN 87-2041032
Case Number EO-2021228-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALIANTHA
Organization’s Mailing Address 5867 FLASH LANE
City SAN JOSE
State CA
ZIP 95119-1774
Accounting period End 12
Primary contact name TARA JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA JOSEPH
PRESIDENT
5867 FLASH LANE
SAN JOSE CA 95119-1774

Officer/Director/Trustee Two

JOSEPH MATHEW
SECRETARY
5867 FLASH LANE
SAN JOSE CA 95119-1774

Officer/Director/Trustee Three

SHARVANI JOSEPH
TREASURER
5867 FLASH LANE
SAN JOSE CA 95119-1774

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2021
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: 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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TARA JOSEPH
Signature Title PRESIDENT
Signature Date 8/14/2021

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