FORM 1023-EZ for HARMONY HOLISTIC HEALING CENTER

Field Data
EIN 50-0001386
Case Number EO-2019343-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARMONY HOLISTIC HEALING CENTER
Organization’s Mailing Address 10250 NE 110TH STREET
City ARCHER
State FL
ZIP 32618-6734
Accounting period End 12
Primary contact name FRANCINE CAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCINE CAMP
PRESIDENT
10250 NE 110TH STREET
ARCHER FL 32618-6734

Officer/Director/Trustee Two

KELLY LECHNIR
VICE PRESIDENT
4811 LUQUI COURT
WEST PALM BEACH FL 33415-9151

Officer/Director/Trustee Three

TASCHE HODGES
SECRETARY
402 JEANNINE DRIVE
WEST PALM BEACH FL 33406-3183

Officer/Director/Trustee Four

WILLIAM HULL
TREASURER
10250 NE 110TH STREET
ARCHER FL 32618-6734

Officer/Director/Trustee Five

FRANCINE CAMP
EXECUTIVE DIRECTOR
10250 NE 110TH STREET
ARCHER FL 32618-6734

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2003
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
Correctness Declaration Yes
Signature Name FRANCINE CAMP
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/5/2019

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