FORM 1023-EZ for HELLO ASSISTIVE TECHNOLOGY INC

Field Data
EIN 81-3312290
Case Number EO-2016223-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELLO ASSISTIVE TECHNOLOGY INC
Organization’s Mailing Address 6320 FENCE POST RD
City LAS VEGAS
State NV
ZIP 89148-5725
Accounting period End 12
Primary contact name MARCIE ZAJAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY JARRELL
PRESIDENT
4625 W NEVSO STE 2 AND 3
LAS VEGAS NV 89103-7702

Officer/Director/Trustee Two

MARCIE ZAJAC
SECRETARY
4625 W NEVSO STE 2 AND 3
LAS VEGAS NV 89103-7702

Organization’s website WWW.HELLOASSISTIVETECHNOLOGY.ORG
Organization’s email MARCIE@HELLOATTECH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P02 - Management & Technical Assistance
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 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
Signature Title
Signature Date

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