FORM 1023-EZ for HAPPY HEALTHY SPINES INITIATIVE INC
| Field | Data |
|---|---|
| EIN | 83-0632456 |
| Case Number | EO-2018165-000491 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAPPY HEALTHY SPINES INITIATIVE INC |
| Organization’s Mailing Address | 11115 PLUM DR |
| City | URBANDALE |
| State | IA |
| ZIP | 50322 |
| Accounting period End | 12 |
| Primary contact name | NIKKI BURKENBINE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NIKKI BURKENBINE
DIRECTOR/PRESIDENT/TREASURER
1120 SE 11TH ST UNIT 1108
GRIMES IA 50111
Officer/Director/Trustee Two
JAY BURKENBINE
SECRETARY
1120 SE 11TH ST UNIT 1108
GRIMES IA 50111
Officer/Director/Trustee Three
AMBER GENT
DIRECTOR
15952 235TH AVE
WEBSTER IA 52355
Officer/Director/Trustee Four
SHANNON FIELDS
DIRECTOR
804 40TH AVE
AMANA IA 52203
| Organization’s website | HAPPYHEALTHYSPINESDSM.ORG |
|---|---|
| Organization’s email | HAPPYHEALTHYSPINESDSM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/16/18 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E50 - Rehabilitative Medical Services |
| 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 | 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 | No |
| Correctness Declaration | Yes |
| Signature Name | NIKKI BURKENBINE |
| Signature Title | DIRECTOR/PRESIDENT/TREASURER |
| Signature Date | 6/12/18 |
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