FORM 1023-EZ for CENTER FOR HEALTH TECHNOLOGY RESEARCH

Field Data
EIN 82-2248372
Case Number EO-2017263-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTER FOR HEALTH TECHNOLOGY RESEARCH
Organization’s Mailing Address 2386 E DEL MAR BLVD - UNIT 219
City PASADENA
State CA
ZIP 91107
Accounting period End 6
Primary contact name JOSH MATACOTTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA MATACOTTA
PRESIDENT
2386 E DEL MAR BLVD
PASADENA CA 91107

Officer/Director/Trustee Two

EDITH GURROLA
VICE-PRESIDENT
680 E COLORADO BLVD SUITE 180
PASADENA CA 91107

Officer/Director/Trustee Three

FRANCISCO ROSALES-PEREZ
DIRECTOR / SECRETARY
680 E COLORADO BLVD SUITE 180
PASADENA CA 91107

Organization’s website WWW.HTRESEARCH.ORG
Organization’s email JOSH@HTRESEARCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U05 - Research Institutes and/or Public Policy Analysis
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 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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