FORM 1023-EZ for NATIVE HEART HEALING INC

Field Data
EIN 82-0764419
Case Number EO-2017086-000460
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIVE HEART HEALING INC
Organization’s Mailing Address P0 BOX 874
City RICHMOND
State VT
ZIP 05477
Accounting period End 12
Primary contact name LINDA STAMOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY MURRAY
CHIEF OPERATING OFFICER/DIRECTOR
366 CHRISTMAS HILL RD
RICHMOND VT 05477

Officer/Director/Trustee Two

LINDA ST AMOUR
DIRECTOR/EXEC.OFFICER
PO BOX 631
RICHMOND VT 05477

Officer/Director/Trustee Three

SUSAN PHELPS
DIRECTOR/ TREASURER
366 CHRISTMAS HILL RD
RICHMOND VT 05477

Officer/Director/Trustee Four

LOIS GRIGGS
DIRECTOR/SECRETARY
144 LEEWAY CIRCLE
WILLISTON VT 05495

Officer/Director/Trustee Five

CARMEL STONE
DIRECTOR
117 OLD STAGE RD
ESSEX JCT VT 05452

Organization’s website
Organization’s email NATIVEHEARTHEALING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
One Third Support Gifts No
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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