FORM 1023-EZ for CAMBRIA INSTITUTE OF HEALTH WELL-BEING AND LONGEVITY INC
| Field | Data |
|---|---|
| EIN | 47-2856322 |
| Case Number | EO-2015082-000151 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMBRIA INSTITUTE OF HEALTH WELL-BEING AND LONGEVITY INC |
| Organization’s Mailing Address | 1911 SHERWOOD DRIVE |
| City | CAMBRIA |
| State | CA |
| ZIP | 93428 |
| Accounting period End | 12 |
| Primary contact name | DAVID N BURT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
DAVID N BURT
DIRECTOR AND PRESIDENT
6030 PEBBLE BEACH WAY
SAN LUIS OBISPO CA 93401
Officer/Director/Trustee Two
KIRK AZEVEDO
DIRECTOR AND TREASURER
4070 WEST STREET
CAMBRIA CA 93428
Officer/Director/Trustee Three
SUSAN LUNGDREN
DIRECTOR AND SECRETARY
4251 SOUTH HIGUERA STREET UNIT 300
SAN LUIS OBISPO CA 93401
| Organization’s website | WWW.CAMBRIAINSTITUTE.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/2015 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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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