FORM 1023-EZ for LAS AMERICAS HEALTH NETWORK INC

Field Data
EIN 85-1476116
Case Number EO-2020174-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAS AMERICAS HEALTH NETWORK INC
Organization’s Mailing Address 1 SOUTH MARKET STREET APT 2302
City SAN JOSE
State CA
ZIP 95113
Accounting period End 12
Primary contact name ALBERT A GOMEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERT A GOMEZ
PRESIDENT
1 SOUTH MARKET STREET APT 2302
SAN JOSE CA 95113

Officer/Director/Trustee Two

GUADALUPE MIRAMONTEZ
SECRETARY
1 SOUTH MARKET STREET APT 2302
SAN JOSE CA 95113

Officer/Director/Trustee Three

RASHELE HAMREN
TREASURER
1 SOUTH MARKET STREET APT 2302
SAN JOSE CA 95113

Officer/Director/Trustee Four

ANDY MERCER
DIRECTOR
1 SOUTH MARKET STREET APT 2302
SAN JOSE CA 95113

Officer/Director/Trustee Five

GLOLRIA VIDAL
DIRECTOR
1 SOUTH MARKET STREET APT 2302
SAN JOSE CA 95113

Organization’s website
Organization’s email AAGOMEZMD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 ALBERT A GOMEZ
Signature Title PRESIDENT
Signature Date 6/18/2020

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