FORM 1023-EZ for HEALTHY FLOYD
| Field | Data |
|---|---|
| EIN | 81-4123300 |
| Case Number | EO-2016323-000192 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HEALTHY FLOYD |
| Organization’s Mailing Address | PO BOX 298 |
| City | FLOYD |
| State | VA |
| ZIP | 24091 |
| Accounting period End | 12 |
| Primary contact name | MEREDITH DEAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JONATHAN VANDERGRIFT
DIRECTOR
303 DEERFIELD LN NE
FLOYD VA 24091
Officer/Director/Trustee Two
TRACYANN COSTELLO
DIRECTOR
2226 DUNCANS CHAPEL RD NW
WILLIS VA 24380
Officer/Director/Trustee Three
DAWN BARNES
DIRECTOR
209 FOX ST NW
FLOYD VA 24091
Officer/Director/Trustee Four
LORI KALUSZKA
DIRECTOR
4097 BETHLEHEM CHURCH RD NE
PILOT VA 24138
Officer/Director/Trustee Five
EVE RIERSON
DIRECTOR
556 WILSON CEMETERY RD NE
CHECK VA 24072
| Organization’s website | |
|---|---|
| Organization’s email | HEALTHYFLOYD@SWVA.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/5/2016 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | |
| Signature Title | |
| Signature Date |
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