FORM 1023-EZ for HEAD LICE HELP

Field Data
EIN 85-4040369
Case Number EO-2021027-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAD LICE HELP
Organization’s Mailing Address 635 CEDAR RUN RD
City NEWARK
State OH
ZIP 43055
Accounting period End 6
Primary contact name MARIA CHILO KOZLOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA CHILO KOZLOWSKI
PRESIDENT
635 CEDAR RUN RD
NEWARK OH 43055-8611

Officer/Director/Trustee Two

MICHAEL KOZLOWSKI
VICE-PRESIDENT
635 CEDAR RUN RD
NEWARK OH 43055-8611

Officer/Director/Trustee Three

MICHAEL HAYES
SECRETARY/TRESURER
48 SOUTH 25TH ST
NEWARK OH 43055-8611

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIA CHILO KOZLOWSKI
Signature Title PRESIDENT
Signature Date 12/7/2020

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