FORM 1023-EZ for PASSION FOR HEALTH

Field Data
EIN 84-4462360
Case Number EO-2020209-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASSION FOR HEALTH
Organization’s Mailing Address PO BOX 110894
City NASHVILLE
State TN
ZIP 37222
Accounting period End 7
Primary contact name SYLVIA LYNN MATTHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYLVIA MATTHEWS
PRESIDENT
160 STATE LINE ROAD APT 17
CLARKSVILLE TN 37042

Officer/Director/Trustee Two

JANICE HOQUE
DIRECTOR OF NURSING
1621 ANISTON ROAD
CENTERTON AR 72719

Officer/Director/Trustee Three

OLVIN CARRANZA
ONSITE DIRECTOR
PUENTE CUADRA AL NORTE
CHOLUTE AE 00000

Officer/Director/Trustee Four

ALEXIS MONTALVO
MEDIA SPECIALIST
160 STATE LINE ROAD APT 17
CLARKSVILLE TN 37042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 SYLVIA MATTHEWS
Signature Title PRESIDENT
Signature Date 7/20/2020

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