FORM 1023-EZ for AVA HEALTH INITIATIVE

Field Data
EIN 82-2644143
Case Number EO-2017256-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVA HEALTH INITIATIVE
Organization’s Mailing Address 2431 LOST MESA
City GRAND PRAIRIE
State TX
ZIP 75052
Accounting period End 12
Primary contact name DAVID AWE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH KUYE
DIRECTOR
2431 LOST MESA
GRAND PRAIRIE TX 75052

Officer/Director/Trustee Two

OLUBISI KUYE
DIRECTOR
2431 LOST MESA
GRAND PRAIRIE TX 75052

Officer/Director/Trustee Three

OLUSEGUN OSENI
DIRECTOR
12750 BELLA VINO DRIVE
FORT WORTH TX 76018

Officer/Director/Trustee Four

OLURANTI ADETONA
DIRECTOR
7405 FOSSIL DRIVE
ARLINGTON TN 76002

Officer/Director/Trustee Five

DAVID AWE
DIRECTOR
923 BENTWATER PKWY
CEDAR HILL TX 75104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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
Signature Title
Signature Date

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