FORM 1023-EZ for HEALED EVOLVED RESILIENT MOVEMENT

Field Data
EIN 86-3955750
Case Number EO-2021148-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALED EVOLVED RESILIENT MOVEMENT
Organization’s Mailing Address 7951 CALUMET AVE STE 1011
City MUNSTER
State IN
ZIP 46321
Accounting period End 12
Primary contact name SHANICE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANICE JONES
PRESIDENT
7951 CALUMET AVE STE 1011
MUNSTER IN 46321

Officer/Director/Trustee Two

ODESSA CEGERS
VICE PRESIDENT
312 NASHVILLE AVE APT 6
HUNTINGTON BEACH CA 92648

Officer/Director/Trustee Three

BIANCA MOODY
SECRETARY
2902 DEATS ROAD APT G4
DICKINSON TX 77539

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
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 SHANICE JONES
Signature Title PRESIDENT
Signature Date 5/20/2021

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