FORM 1023-EZ for HEALTHY EATING COMMUNITY ALLIANCE

Field Data
EIN 81-3188328
Case Number EO-2016222-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY EATING COMMUNITY ALLIANCE
Organization’s Mailing Address PO BOX 30201
City GAHANNA
State OH
ZIP 43230-0201
Accounting period End 12
Primary contact name TIA TRENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIA TRENT
PRESIDENT
5981 SILVER CHARMS WAY
NEW ALBANY OH 43054-8063

Officer/Director/Trustee Two

CHERYL GUNNELL
VICE PRESIDENT
982 WESTPAL AVE
COLUMBUS OH 43227-1267

Officer/Director/Trustee Three

TIFFANY HARRIS
SECRETARY
1580 BAXTER DR
COLUMBUS OH 43227-2405

Organization’s website
Organization’s email HEALTHYEATINGCOMMUNITYALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K32 -
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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