FORM 1023-EZ for LAS VEGAS HEALTH CENTER

Field Data
EIN 84-4028833
Case Number EO-2020139-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAS VEGAS HEALTH CENTER
Organization’s Mailing Address 2435 FIREMESA ST SUITE 110
City LAS VEGAS
State NV
ZIP 89128
Accounting period End 12
Primary contact name VALERIE AGEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE AGEE
DIRECTOR
PO BOX 1833
ROUND ROCK TX 78680

Officer/Director/Trustee Two

DHAVAL SHAH
DIRECTOR
2435 FIREMESA ST SUITE 110
LAS VEGAS NV 89128

Officer/Director/Trustee Three

RESHMA SHAH
DIRECTOR
2610 W HORIZON RIDGE PKWY
HENDERSON NV 89052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2019
Organization Incorporation State NV
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: No
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VALERIE AGEE
Signature Title DIRECTOR
Signature Date 5/15/2020

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