FORM 1023-EZ for EARLY DIAGNOSIS FOUNDATION

Field	Data
EIN	82-0624702
Case Number	EO-2021077-000391
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	EARLY DIAGNOSIS FOUNDATION
Organization’s Mailing Address	1085 MARGUERIATE CT
City	LAFAYETTE
State	CA
ZIP	94549
Accounting period End	12
Primary contact name	GREG W
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

GREG WOEHRLE
PRESIDENT
1085 MARGUERITE CT
LAFAYETTE CA 94549

Officer/Director/Trustee Two

ARIANA FORT
SECRETARY/TREASURER
1085 MARGUERITE CT
LAFAYETTE CA 94549

Officer/Director/Trustee Three

KATHY DEXTER
DIRECTOR
1085 MARGUERITE CT
LAFAYETTE CA 94549

Officer/Director/Trustee Four

JOHN VISBAL
DIRECTOR
1085 MARGUERITE CT
LAFAYETTE CA 94549

Officer/Director/Trustee Five

LESLIE WEROSH
DIRECTOR
1085 MARGUERITE CT
LAFAYETTE CA 94549

Organization’s website	EARLYDIAGNOSIS.FOUNDATION
Organization’s email	GREG@EARLYDIAGNOSIS.FOUNDATION
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	3/10/2017
Organization Incorporation State	CA
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	H12 - Fund Raising and/or Fund Distribution
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	Yes
Seeking Section 7 Reinstatement	No
Correctness Declaration	Yes
Signature Name	ARIANA FORT
Signature Title	SECRETARY/TREASURER
Signature Date	1/20/2021
EIN	82-0624702
Case Number	EO-2017096-000258
Form 1023-EZ version	62014
Eligibility Worksheet	1
Organization Name	EARLY DIAGNOSIS FOUNDATION
Organization’s Mailing Address	1085 MARGUERITE CT
City	LAFAYETTE
State	CA
ZIP	94549
Accounting period End	12
Primary contact name	GREG WOEHRLE
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00