FORM 1023-EZ for HEALTHY VILLAGES INC

Field Data
EIN 81-3652146
Case Number EO-2016244-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY VILLAGES INC
Organization’s Mailing Address 810 SOUTH FESS AVENUE
City BLOOMINGTON
State IN
ZIP 47401-4946
Accounting period End 12
Primary contact name SARA CORRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA CORRY
CO-DIRECTOR
810 SOUTH FESS AVENUE
BLOOMINGTON IN 47401-4946

Officer/Director/Trustee Two

GODFRIED AGBEZUDOR
CO-DIRECTOR
SMB 068 SANTA MARIA BLUE KIOSK
ACCRA GHANA

Officer/Director/Trustee Three

CATHY ELLIOTT
SECRETARY
8104 CEDAR CREEK DRIVE NW
ALBUQUERQUE IN 87120-3844

Organization’s website
Organization’s email HEALTHYVILLAGESGH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2016
Organization Incorporation State IN
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: 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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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