FORM 1023-EZ for VA STRONG

Field Data
EIN 85-3452149
Case Number EO-2021021-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VA STRONG
Organization’s Mailing Address 7 MERRIMAC
City IRVINE
State CA
ZIP 92620
Accounting period End 12
Primary contact name AL CLANCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER LEO
DIR/SECT/FOUNDER
421 FOREFRONT AVENUE
CELINA TX 75009

Officer/Director/Trustee Two

TIN NGUYEN
DIR/TRES/PRES/FOUNDER
7 MERRIMAC
IRVINE CA 92620

Organization’s website
Organization’s email CERNERCONSULTANT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2020
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 Yes
Donation of funds Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIN NGUYEN
Signature Title DIR/TRES/PRES/FOUNDER
Signature Date 11/23/2020

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