FORM 1023-EZ for HEALTHY SPINES INITIATIVE INC
| Field | Data |
|---|---|
| EIN | 47-3520768 |
| Case Number | EO-2015091-000224 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HEALTHY SPINES INITIATIVE INC |
| Organization’s Mailing Address | 1360 POWERS FERRY RD STE A100 |
| City | MARIETTA |
| State | GA |
| ZIP | 30067 |
| Accounting period End | 12 |
| Primary contact name | AMBER LANDRY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
AMBER LANDRY
CEO
1396 OLD VIRGINIA CT
MARIETTA GA 30067
Officer/Director/Trustee Two
STEVE LANDRY
CFO
1396 OLD VIRGINIA CT
MARIETTA GA 30067
Officer/Director/Trustee Three
ELLEN LEE
BOARD MEMBER
3414 LEE RD
HOBOKEN GA 31542
Officer/Director/Trustee Four
KENNY DASHER
BOARD MEMBER
3414 LEE RD
HOBOKEN GA 31542
Officer/Director/Trustee Five
DUSTIN RAY
BOARD MEMBER
88 LYNN ST
HOBOKEN GA 31542
| Organization’s website | HTTP://HEALTHYSPINESINITIATIVE.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/25/2015 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H01 - Alliance/Advocacy Organizations |
| 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 | Yes |
| 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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