FORM 1023-EZ for CALIFORNIA CENTER FOR HEALTH AND LONGEVITY
| Field | Data |
|---|---|
| EIN | 83-1197206 |
| Case Number | EO-2018204-000147 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CALIFORNIA CENTER FOR HEALTH AND LONGEVITY |
| Organization’s Mailing Address | 4849 VAN NUYS BLVD STE 104 |
| City | SHERMAN OAKS |
| State | CA |
| ZIP | 91403 |
| Accounting period End | 12 |
| Primary contact name | JEREMY FISCHER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEREMY FISCHER
PRESIDENT, DIRECTOR #1
15155 SHERMAN WAY UNIT 46
VAN NUYS CA 91405
Officer/Director/Trustee Two
HARIN HULUGALLE
DIRECTOR #2
2319 MEADOWLAND COURT
WESTLAKE VILLAGE CA 91361
Officer/Director/Trustee Three
DAN TAYLOR
DIRECTOR #3
20923 ABALAR STREET
WOODLAND HILLS CA 91364
Officer/Director/Trustee Four
CAROL WONG
TREASURER, SECRETARY
15155 SHERMAN WAY UNIT 46
VAN NUYS CA 91405
| Organization’s website | CALIFORNIALONGEVITY.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/21/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| 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 | JEREMY FISCHER |
| Signature Title | PRESIDENT, DIRECTOR #1 |
| Signature Date | 7/19/18 |
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