FORM 1023-EZ for HEALTH RESPONSE ORGANIZATION INC

Field Data
EIN 85-2861566
Case Number EO-2020252-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH RESPONSE ORGANIZATION INC
Organization’s Mailing Address 3715 NORTHSIDE PKWY B 100 STE 500
City ATLANTA
State GA
ZIP 30327
Accounting period End 12
Primary contact name MACKENS SALOMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MACKENS SALOMON
PRESIDENT; TREASURER
3715 NORTHSIDE PKWY B 100 STE 500
ATLANTA GA 30327

Officer/Director/Trustee Two

YOUCKENS SALOMON
SECRETARY
3715 NORTHSIDE PKWY B 100 STE 500
ATLANTA GA 30327

Officer/Director/Trustee Three

FLORCY MICHEL
DIRECTOR
3715 NORTHSIDE PKWY B 100 STE 500
ATLANTA GA 30327

Officer/Director/Trustee Four

FATO FEN
DIRECTOR
3715 NORTHSIDE PKWY B 100 STE 500
ATLANTA GA 30327

Organization’s website
Organization’s email SALOMONMACKENS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2020
Organization Incorporation State GA
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: 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 Yes
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 MACKENS SALOMON
Signature Title PRESIDENT; TREASURER
Signature Date 9/4/2020

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