FORM 1023-EZ for HELPING ENRICH ADULT LIVES INC

Field Data
EIN 45-3949068
Case Number EO-2016152-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELPING ENRICH ADULT LIVES INC
Organization’s Mailing Address 245 NORTH 200 WEST
City ST GEORGE
State UT
ZIP 84770
Accounting period End 12
Primary contact name CHRISTINE HOLLIDAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE HOLLIDAY
DIRECTOR
245 NORTH 200 WEST
ST GEORGE UT 84770

Officer/Director/Trustee Two

MICHELE BAKER
DIRECTOR
245 NORTH 200 WEST
ST GEORGE UT 84770

Officer/Director/Trustee Three

JEANIE JOHNSON
DIRECTOR
245 NORTH 200 WEST
ST GEORGE UT 84770

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2012
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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