FORM 1023-EZ for HOLISTIC HOPE INC

Field Data
EIN 85-3908236
Case Number EO-2021083-000843
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLISTIC HOPE INC
Organization’s Mailing Address 910 THOMPSON BLVD
City SEDALIA
State MO
ZIP 65301
Accounting period End 12
Primary contact name JAMES T MERCHANT DO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MERCHANT
CHIEF MEDICAL OFFICER
575758 - 131 W HIGH ST UNIT 1409
JEFFERSON CITY MO 65102

Officer/Director/Trustee Two

RYAN KING
SECRETARY-TREASURER
304 E REA ST
MARSHALL MO 65340

Officer/Director/Trustee Three

CHERRIE SURFACE
CHAIRMAN
304 E REA ST
MARSHALL MO 65340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JAMES MERCHANT
Signature Title CHIEF MEDICAL OFFICER
Signature Date 11/16/2020

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