FORM 1023-EZ for IMPERIAL VALLEY HEALTHY LIVING CENTER

Field Data
EIN 84-4033626
Case Number EO-2020279-000319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPERIAL VALLEY HEALTHY LIVING CENTER
Organization’s Mailing Address P O BOX 591
City SEELEY
State CA
ZIP 92273-0591
Accounting period End 12
Primary contact name ANTWON TUKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA WILLIAMS
DIRECTOR
P O BOX 2844
EL CENTRO CA 92244

Officer/Director/Trustee Two

CARLOS LABANDERA
DIRECTOR
681 N IMPERIAL AVE 3
BRAWLEY CA 92227

Officer/Director/Trustee Three

MICHAEL RODRIGUEZ
DIRECTOR
945 LACY AVE
CALEXICO CA 92231

Officer/Director/Trustee Four

ANTWON TUKES
FOUNDER / DIRECTOR
PO BOX 591
SEELEY CA 92273-0591

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 ANTWON TUKES
Signature Title FOUNDER / DIRECTOR
Signature Date 10/1/2020

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