FORM 1023-EZ for HEAD INC

Field Data
EIN 81-3582468
Case Number EO-2016235-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEAD INC
Organization’s Mailing Address 4600 POWDER MILL ROAD
City BELTSVILLE
State MD
ZIP 20705
Accounting period End 12
Primary contact name IDDI SANDALY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHA NY
CEO
762 QUINCE ORCHARD NO 102
GAITHERSBURG MD 20878

Officer/Director/Trustee Two

IDDI SANDALY
BOARD
1500 NOVEMBER CIRCLE NO 404
SILVER SPRING MD 20904

Officer/Director/Trustee Three

ASHA HARIZ
BOARD CHAIR
12508 POST CREEK PLACE
GERMANTOWN MD 20874

Officer/Director/Trustee Four

JASMINE BENNETT
BOARD
5423 CLIFTON AVENUE
GWYNN MD 21207

Officer/Director/Trustee Five

MAYOR MLIMA
BOARD
12508 POST CREEK PLACE
GERMANTOWN MD 20874

Organization’s website
Organization’s email IDDI@SERUWAGECPAS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
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 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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