FORM 1023-EZ for HANDS THAT HEAL LIFE COMMUNITY INC

Field Data
EIN 83-2309741
Case Number EO-2018334-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HANDS THAT HEAL LIFE COMMUNITY INC
Organization’s Mailing Address 172 S SUNLAND DRIVE
City CAMP VERDE
State AZ
ZIP 86322
Accounting period End 12
Primary contact name JOSHUA WILSHUSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA WILSHUSEN
PRESIDENT
172 SOUTH SUNLAND DRIVE
CAMP VERDE AZ 86322

Officer/Director/Trustee Two

SARAH GRABER-WILSHUSEN
TREASURER
172 SOUTH SUNLAND DRIVE
CAMP VERDE AZ 86322

Officer/Director/Trustee Three

LIZZIE MOETI
CHAIRPERSON OF THE GOVERNING BODY
1565 N WILDFLOWER DRIVE APT507
CASA GRANDE AZ 85122

Organization’s website
Organization’s email JOSHUAWILSHUSEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q39 - International Health
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 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 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 JOSHUA WILSHUSEN
Signature Title PRESIDENT
Signature Date 11/28/18

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