FORM 1023-EZ for HEALTHY HOME HEALTHY PLANET

Field Data
EIN 81-3143242
Case Number EO-2016193-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY HOME HEALTHY PLANET
Organization’s Mailing Address 19 RUSSELL STREET
City MARBLEHEAD
State MA
ZIP 01945
Accounting period End 12
Primary contact name JOHN LIVERMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN LIVERMORE
PRESIDENT, TREASURER
19 RUSSELL STREET
MARBLEHEAD MA 01945

Officer/Director/Trustee Two

PAUL WOLFF
CLERK
702 BROCK AVENUE
NEW BEDFORD MA 02740

Officer/Director/Trustee Three

ANCA VAN ASSENDELFT
DIRECTOR
22 WYMAN ROAD
MARBLEHEAD MA 01945

Organization’s website WWW.HEALTHYHOMEHEALTHYPLANET.ORG
Organization’s email JOHN@HEALTHYHOMEHEALTHYPLANET.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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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