FORM 1023-EZ for CULTIVATING LEADERS IN WELLNESS ANDMEDICINE

Field Data
EIN 85-2509282
Case Number EO-2020230-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CULTIVATING LEADERS IN WELLNESS ANDMEDICINE
Organization’s Mailing Address 16702 SUMMIT VISTA DRIVE
City SAN DIEGO
State CA
ZIP 92127
Accounting period End 8
Primary contact name SHEFALI CHAUBEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KASHISH CHOPRA
CO-PRESIDENT
15917 WINECREEK DRIVE
SAN DIEGO CA 92127

Officer/Director/Trustee Two

SHEFALI CHAUBEY
CO-PRESIDENT
16702 SUMMIT VISTA DRIVE
SAN DIEGO CA 92127

Officer/Director/Trustee Three

MUDITA TIWAR
OFFICER
16702 SUMMIT VISTA DRIVE
SAN DIEGO CA 92127

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHEFALI CHAUBEY
Signature Title CO-PRESIDENT
Signature Date 8/13/2020

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