FORM 1023-EZ for PROACTIVE-HEALTH INC

Field Data
EIN 83-1076419
Case Number EO-2018299-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROACTIVE-HEALTH INC
Organization’s Mailing Address 2451 ROCKWOOD AVE STE 108
City CALEXICO
State CA
ZIP 92231
Accounting period End 12
Primary contact name JOSE LUIS RAMIREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE LUIS RAMIREZ
PRESIDENT
1173 CABANA ST
CALEXICO CA 92231

Officer/Director/Trustee Two

ADRIAN MORAN
VICE PRESIDENT
1961 CARTER CT
CALEXICO CA 92231

Organization’s website
Organization’s email JLRAMIREZ23@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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 JOSE LUIS RAMIREZ
Signature Title PRESIDENT
Signature Date 10/24/18

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