FORM 1023-EZ for HEALERS FOR HUMANITY INC

Field Data
EIN 83-3903742
Case Number EO-2019198-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALERS FOR HUMANITY INC
Organization’s Mailing Address 649 OLD TOPANGA CANYON RD
City TOPANGA
State CA
ZIP 90290-3815
Accounting period End 11
Primary contact name FALLON HORSTMEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FALLON HORSTMEYER
PRESIDENT
649 OLD TOPANGA CANYON RD
TOPANGA CA 90290-3815

Officer/Director/Trustee Two

HOLLY HOLT
VICE PRESIDENT
7200 BONIFACE LN
AUSTIN TN 78729-7780

Officer/Director/Trustee Three

MOSES HILL
TREASURER/SECRETARY
14622 VENTURA BLVD 722
SHERMAN OAKS CA 91403-3600

Organization’s website
Organization’s email FALLON@HEALERSFORHUMANITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FALLON HORSTMEYER
Signature Title PRESIDENT
Signature Date 7/15/19

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