FORM 1023-EZ for PROJECT HEAL INC

Field Data
EIN 84-3228748
Case Number EO-2019343-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT HEAL INC
Organization’s Mailing Address 403 SUNNY SLOPE DR
City RUIDOSO
State NM
ZIP 88345
Accounting period End 12
Primary contact name JASMYNE ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMYNE ROGERS
PRESIDENT
493 SUNNY SLOPE DR
RUIDOSO NM 88344

Officer/Director/Trustee Two

ADAM ROGERS
CHIEF FINANCIAL OFFICER
403 SUNNY SLOPE DR
RUIDOSO NM 88345

Officer/Director/Trustee Three

MEREDITH MILLS-YOUNGQUEST
VICE PRESIDENT
14569 BENEFIT STREET UNIT 211
SHERMAN OAKS CA 91403

Officer/Director/Trustee Four

ROBYNE DRAPER
SECRETARY
PO BOX 718
RUIDOSO DOWNS NM 88346

Officer/Director/Trustee Five

ISABELLA AMEZCUA
OFFICER
PO BOX 718
RUIDOSO DOWNS NM 88346

Organization’s website PROJECTHEAL.US
Organization’s email JAZ@PROJECTHEAL.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2019
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 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 JASMYNE ROGERS
Signature Title PRESIDENT
Signature Date 12/6/2019

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