FORM 1023-EZ for HEAL FOUNDATION

Field Data
EIN 83-4660605
Case Number EO-2019339-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAL FOUNDATION
Organization’s Mailing Address 281 DAVIS AVE APT H 7
City CLIFTON HEIGHTS
State PA
ZIP 19018
Accounting period End 12
Primary contact name JENNIFER O BRANHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTINA FULTON
DIRECTOR
281 DAVIS AVE APT H7
CLIFTON HEIGHTS PA 19018

Officer/Director/Trustee Two

KEEMA MARSHALL
DIRECTOR
281 DAVIS AVE APT H7
CLIFTON HEIGHTS PA 19018

Officer/Director/Trustee Three

GOEFFREY SNYDER
DIRECTOR
281 DAVIS AVE APT H7
CLIFTON HEIGHTS PA 19018

Officer/Director/Trustee Four

AHMAD ADDY
DIRECTOR
281 DAVIS AVE APT H7
CLIFTON HEIGHTS PA 19018

Officer/Director/Trustee Five

JOHN WALLACE
DIRECTOR
281 DAVIS AVE APT H7
CLIFTON HEIGHTS PA 19018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MATTINA FULTON
Signature Title DIRECTOR
Signature Date 12/3/19

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