FORM 1023-EZ for HEALTHY CALIFORNIA LIVING INC

Field Data
EIN 81-4261173
Case Number EO-2016305-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY CALIFORNIA LIVING INC
Organization’s Mailing Address 1146 N CENTRAL AVENUE SUITE 170
City GLENDALE
State CA
ZIP 91202
Accounting period End 12
Primary contact name ABRAHAM SARKISYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABRAHAM SARKISYAN
PRESIDENT
1146 N CENTRAL AVENUE SUITE 170
GLENDALE CA 91202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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