FORM 1023-EZ for HOPE AND HEALTH UNITED

Field Data
EIN 84-2752303
Case Number EO-2020252-000588
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE AND HEALTH UNITED
Organization’s Mailing Address 4250 GOODYEAR DRIVE
City WINSTON-SALEM
State NC
ZIP 27104-3822
Accounting period End 12
Primary contact name DR TOM NIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM NIXON
PRESIDENT
680 BRENTWOOD COURT
WINSTON-SALEM NC 27104-2620

Officer/Director/Trustee Two

JOSEPH HANCOCK
VICE PRESIDENT
1844 OLIVERS CROSSING CIRCLE
WINSTON-SALEM NC 27127-7133

Officer/Director/Trustee Three

KRISTIN BASCH
SECRETARY
4908 LIGHTHOUSE CT
WINSTON-SALEM NC 27127-6814

Officer/Director/Trustee Four

STACEY HANCOCK
TREASURER
1844 OLIVERS CROSSING CIRCLE
WINSTON-SALEM NC 27127-7133

Officer/Director/Trustee Five

MARISSA NIXON
DIRECTOR
680 BRENTWOOD COURT
WINSTON-SALEM NC 27104-2620

Organization’s website
Organization’s email HELLO@HOPEHEALTHUNITED.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: Yes
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 KRISTIN BASCH
Signature Title SECRETARY
Signature Date 9/4/2020

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