FORM 1023-EZ for ZAMORA INSTITUTE FOR HEALTH RESEARCH TRAINING AND EDUCATION

Field Data
EIN 71-0992355
Case Number EO-2018150-000008
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZAMORA INSTITUTE FOR HEALTH RESEARCH TRAINING AND EDUCATION
Organization’s Mailing Address 131 AMATISTA WAY
City PALM DESERT
State CA
ZIP 92211
Accounting period End 12
Primary contact name ARTURO J HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTURO HERNANDEZ
PRESIDENT
131 AMATISTA WAY
PALM DESERT CA 92211

Officer/Director/Trustee Two

VICTOR HERNANDEZ
TREASERER
131 AMATISTA WAY
PALM DESERT CA 92211

Officer/Director/Trustee Three

ENRIQUE GOMEZ-BASTIDAS
SECRETARY
131 AMATISTA WAY
PALM DESERT CA 92211

Organization’s website
Organization’s email ZAMORAINSTITUTE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 ARTURO HERNANDEZ
Signature Title PRESIDENT
Signature Date 5/24/18

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