FORM 1023-EZ for YUMA S HEALTH MATTERS FOUNDATION

Field Data
EIN 85-3323948
Case Number EO-2021056-000032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YUMA S HEALTH MATTERS FOUNDATION
Organization’s Mailing Address 2205 W 23RD ST
City YUMA
State AZ
ZIP 85364
Accounting period End 12
Primary contact name LINDA COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN COOK
DIRECTOR
2205 W 23RD ST
YUMA AZ 85364

Officer/Director/Trustee Two

LINDA COOK
SECRETARY
2205 W 23RD ST
YUMA AZ 85364

Officer/Director/Trustee Three

MARIE ZARAGOZA
TREASURER
2205 W 23RD ST
YUMA AZ 85364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
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 LINDA COOK
Signature Title SECRETARY
Signature Date 1/6/2021

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