FORM 1023-EZ for YO SOY SALUD Y VIDA ORG

Field Data
EIN 38-4008774
Case Number EO-2016216-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YO SOY SALUD Y VIDA ORG
Organization’s Mailing Address 4504 S 61ST AVE
City OMAHA
State NE
ZIP 68117
Accounting period End 12
Primary contact name MARGARITA YEIMI CHAVEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARITA YEIMI CHAVEZ
EXECUTIVE DIRECTOR
4504 S 61ST AVE
OMAHA NE 68117

Officer/Director/Trustee Two

MARIA LAURA VELASCO
PRESIDENT
4404 S 32ND ST
OMAHA NE 68107

Officer/Director/Trustee Three

ANDREA CORRAL
VICE PRESIDENT
1519 WASHINGTON ST
OMAHA NE 68107

Officer/Director/Trustee Four

ANGELICA VELAZQUEZ
TREASURER
10917 N MILL CT 10
OMAHA NE 68154

Officer/Director/Trustee Five

YOLANDA ORELLANA
SECRETARY
4215 SPRING ST
OMAHA NE 68105

Organization’s website
Organization’s email YOSOYSALUDYVIDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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