FORM 1023-EZ for CONNECT AND HEAL INC

Field Data
EIN 81-3278924
Case Number EO-2016350-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNECT AND HEAL INC
Organization’s Mailing Address 619 EAST COLT COURT
City CHANDLER
State AZ
ZIP 85225
Accounting period End 12
Primary contact name ERNICE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RALUCA ALMASAN
BOARD MEMBER
22435 NORTH 49TH PLACE
PHOENIX AZ 85054

Officer/Director/Trustee Two

YERRONDA LEWIS
BOARD MEMBER
551 N EUCALYPTUS PLACE
CHANDLER AZ 85225

Officer/Director/Trustee Three

ERNICE DAVIS
PRESIDENT/DIRECTOR
619 EAST COLT COURT
CHANDLER AZ 85225

Officer/Director/Trustee Four

MEGAN TALIAFERRO
ADMINISTRATIVE ASSISTANT
619 EAST COLT COURT
CHANDLER AZ 85225

Officer/Director/Trustee Five

ERNICE DAVIS
PRESIDENT/DIRECTOR
619 EAST COLT COURT
CHANDLER AZ 85225

Organization’s website WWW.CONNECTANDHEAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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
Signature Title
Signature Date

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