FORM 1023-EZ for HEALING WITH INTEGRITY INC

Field Data
EIN 83-4562073
Case Number EO-2019126-000578
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING WITH INTEGRITY INC
Organization’s Mailing Address 120 EMERY ROAD
City MONROE
State ME
ZIP 4951
Accounting period End 12
Primary contact name NANCY FICKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY FICKETT
DIRECTOR
PO BOX 624
MONROE ME 4951

Officer/Director/Trustee Two

RICHARD SANDERSON
DIRECTOR
143 HIGH STREET
BELFAST ME 4915

Officer/Director/Trustee Three

DEB PEADODY
DIRECTOR
2399 ATLANTIC HWY
LINCOLNVILLE ME 4849

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 NANCY FICKETT
Signature Title DIRECTOR
Signature Date 5/3/19

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