FORM 1023-EZ for A-SICKA HEALS FOUNDATION

Field Data
EIN 83-3183246
Case Number EO-2019191-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A-SICKA HEALS FOUNDATION
Organization’s Mailing Address PO BOX 1483
City WALDORF
State MD
ZIP 20604-1483
Accounting period End 12
Primary contact name DELONTE EATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA HOWARD
PRESIDENT
4507 GROUSE PL
WALDORF MD 20603-4501

Officer/Director/Trustee Two

TIMOTHY HOWARD
VICE PRESIDENT
4507 GROUSE PL
WALDORF MD 20603-4501

Officer/Director/Trustee Three

DELONTE EATON
TREASURY
1701 EAST WEST HWY APT T8
SILVER SPRINGS MD 20910-3072

Officer/Director/Trustee Four

CHERYL ALSTON
SECRETARY
9604 MT LAUREL CT
UPPER MARLBORO MD 20772-4865

Officer/Director/Trustee Five

JAMES POWELL
FINANCIAL SECRETARY
18417 CHARITY LANE
ACCOKEEK MD 20607-3247

Organization’s website WWW.ASICKAHEALS.ORG
Organization’s email ASICKAFOUNDATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA HOWARD
Signature Title PRESIDENT
Signature Date 7/8/19

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