FORM 1023-EZ for A HARMONIC REMEDY

Field Data
EIN 46-5733516
Case Number EO-2015222-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A HARMONIC REMEDY
Organization’s Mailing Address 24412 VOLTARA CT
City CALABASAS
State CA
ZIP 91302
Accounting period End 12
Primary contact name ELI SHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELI SHI
CO PRESIDENT
24412 VOLTARA CT
CALABASAS CA 91302

Officer/Director/Trustee Two

TINTIN NGUYEN
CO PRESIDENT
3411 IVY TRAIL
CALABASAS CA 91302

Officer/Director/Trustee Three

SURAJ SRIVATS
CO PRESIDENT
6901 CASTLE PEAK DRIVE
WEST HILLS CA 91367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 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
Signature Title
Signature Date

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