FORM 1023-EZ for SELF HELING THERAPY NFP

Field Data
EIN 86-3334489
Case Number EO-2021172-000513
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF HELING THERAPY NFP
Organization’s Mailing Address 800 15TH ST 2W
City NORTH CHICAGO
State IL
ZIP 60064
Accounting period End 12
Primary contact name MALAYA TAYLOR KEYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALAYA TAYLOR KEYS
CEO
5250 GRAND AVE SUIT 14-1041
GURNEE IL 60031

Organization’s website WWW.SELFHELING.COM
Organization’s email ADMIN@SELFHELING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E22 - Hospital, General
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 No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 MALAYA TAYLOR KEYS
Signature Title CEO
Signature Date 6/18/2021

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