FORM 1023-EZ for HEALING HEADS FOUNDATION

Field Data
EIN 82-3639368
Case Number EO-2018004-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING HEADS FOUNDATION
Organization’s Mailing Address 222 DOGWOOD HILLS DRIVE
City MOUNT JULIET
State TN
ZIP 37122-3900
Accounting period End 12
Primary contact name HUNTER THREET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HALEY HARRIS
PRESIDENT DIRECTOR
222 DOGWOOD HILLS DRIVE
MOUNT JULIET TN 37122-3900

Officer/Director/Trustee Two

DENISE HARRIS
SECRETARY
222 DOGWOOD HILLS DRIVE
MOUNT JULIET TN 37122-3900

Officer/Director/Trustee Three

KATHY PEARSON
DIRECTOR
500 SYCAMORE DRIVE
MOUNT JULIET TN 37122-3525

Officer/Director/Trustee Four

RICHARD KASNICK
DIRECTOR
101 SALIENT LANE
MOUNT JULIET TN 37122-6166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/17
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 DENISE HARRIS
Signature Title SECRETARY
Signature Date 1/2/18

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