FORM 1023-EZ for HEALED INCORPORATED

Field Data
EIN 83-1620626
Case Number EO-2018241-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALED INCORPORATED
Organization’s Mailing Address PO BOX 22872
City LOUISVILLE
State KY
ZIP 40252-2872
Accounting period End 12
Primary contact name MICHELLE RENEE KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE KELLEY
EXECUTIVE DIRECTOR
16807 SUMMIT VISTA WAY
LOUISVILLE KY 40245

Officer/Director/Trustee Two

MICHELLE JOHNSON
TREASURER
9704 CREEKWOOD ROAD
LOUISVILLE KY 40223

Officer/Director/Trustee Three

NANCY RENFROW
SECRETARY
4413 BROOKHAVEN AVENUE
LOUISVILLE KY 40220

Officer/Director/Trustee Four

BRITTANI HOYER
CHAIR
9504 CHADBOURN COURT
LOUISVILLE KY 40223

Organization’s website HEALEDPSALM147.ORG
Organization’s email HEALEDPSALM147@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: No
Religious: Yes
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 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 MICHELLE KELLEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/27/18

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