FORM 1023-EZ for START HEALING FOUNDATION

Field Data
EIN 47-3769292
Case Number EO-2015117-000496
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name START HEALING FOUNDATION
Organization’s Mailing Address 5455 PEPPER TREE PLACE
City ALTA LOMA
State CA
ZIP 91737
Accounting period End 9
Primary contact name ZELIA DE SOUSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ZELIA DE SOUSA
CHIEF EXECUTIVE OFFICER
5455 PEPPER TREE PLACE
ALTA LOMA CA 91737

Officer/Director/Trustee Two

CIARA DE SOUSA-LOURENCO
CHIEF FINANCIAL OFFICER
5455 PEPPER TREE PLACE
ALTA LOMA CA 91737

Officer/Director/Trustee Three

TIMOTHY YOUNGER
SECRETARY/GENERAL COUNSEL
5455 PEPPER TREE PLACE
ALTA LOMA CA 91737

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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