FORM 1023-EZ for HOPE AND HEALING FAMILY CLINIC

Field Data
EIN 85-1950035
Case Number EO-2020199-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE AND HEALING FAMILY CLINIC
Organization’s Mailing Address 690 MAIN STREET SUITE 829
City SAFETY HARBOR
State FL
ZIP 34695
Accounting period End 12
Primary contact name SHARLA WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARLA WALKER
PRESIDENT
8503 TIDAL BAY LANE
TAMPA FL 33635

Officer/Director/Trustee Two

ANDRE WALKER
TREASURER
8503 TIDAL BAY LANE
TAMPA FL 33635

Officer/Director/Trustee Three

ALISHA GRIMMAGE
VICE PRESIDENT
5535 110TH AVE NORTH APT 108
PINELLAS PARK FL 33782

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 SHARLA WALKER
Signature Title PRESIDENT
Signature Date 7/15/2020

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