FORM 1023-EZ for UNIQUE HEALTHY LIVING INC

Field Data
EIN 84-3287962
Case Number EO-2020038-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIQUE HEALTHY LIVING INC
Organization’s Mailing Address 783 MIX AVE APT D
City HAMDEN
State CT
ZIP 06514
Accounting period End 12
Primary contact name GURETHA PETTWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GURETHA PETTWAY
PRESIDENT / DIRECTOR
783 MIX AVE APT D
HAMDEN CT 06514

Officer/Director/Trustee Two

LEILA PETTWAY
TREASURER / DIRECTOR
783 MIX AVE APT D
HAMDEN CT 06514

Officer/Director/Trustee Three

CURTINA ALEXANDER
SECRETART / DIRECTOR
783 MIX AVE APT D
HAMDEN CT 06514

Officer/Director/Trustee Four

BRIDGETT SASSER
DIRECTOR
783 MIX AVE APT D
HAMDEN CT 06514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2019
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GURETHA PETTWAY
Signature Title PRESIDENT / DIRECTOR
Signature Date 2/5/2020

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