FORM 1023-EZ for HEALING VALVES NORTH AMERICA NFP

Field Data
EIN 87-1339820
Case Number EO-2021202-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING VALVES NORTH AMERICA NFP
Organization’s Mailing Address 2632 HILLTOP RD
City SPRINGFIELD
State IL
ZIP 62712
Accounting period End 12
Primary contact name BEREKET KINDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEREKET KINDO
TREASURER AND CO-FOUNDER
7009 SHADOW POINTE
SELLERSBURG IN 47172-9165

Officer/Director/Trustee Two

MESFIN DOLLAR
PRESIDENT AND CO-FOUNDER
2632 HILLTOP RD
SPRINGFIELD IL 62712-8770

Officer/Director/Trustee Three

NAZIF AHMAD
SECRETARY BOARD MEMBER
4368 SLEEPY HOLLOW CV
LILBURN GA 30047-4196

Organization’s website WWW.HEALINGVALVES.ORG
Organization’s email INFO@HEALINGVALVES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
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 Yes
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 BEREKET KINDO
Signature Title TREASURER AND CO-FOUNDER
Signature Date 7/19/2021

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