FORM 1023-EZ for HEALTH OF A NATION INC

Field Data
EIN 84-4956859
Case Number EO-2020269-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH OF A NATION INC
Organization’s Mailing Address 3151 MOSLEY CHASE DRIVE
City AUSTELL
State GA
ZIP 30106
Accounting period End 12
Primary contact name JONATHON PRINCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHON PRINCE
PRESIDENT/DIRECTOR
3151 MOSLEY CHASE DRIVE
AUSTELL GA 30106

Officer/Director/Trustee Two

KHADIJA KHEIR
TREASURER/SECRETARY/DIRECTOR
3151 MOSLEY CHASE DRIVE
AUSTELL GA 30106

Officer/Director/Trustee Three

DURIYAH DEVINE
DIRECTOR
3151 MOSLEY CHASE DRIVE
AUSTELL GA 30106

Organization’s website HTTPS://WWW.HEALTHOFANATION.ORG
Organization’s email HELLO@HEALTHOFANATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
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 Yes
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 JONATHON PRINCE
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/23/2020

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