FORM 1023-EZ for HEALING STREAMS INTERNATIONAL

Field Data
EIN 85-2168026
Case Number EO-2020211-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING STREAMS INTERNATIONAL
Organization’s Mailing Address 260 LINDA ROSA AVENUE APT 5
City PASADENA
State CA
ZIP 91107
Accounting period End 6
Primary contact name JIMMIE ANN COATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMIE ANN COATES
PRESIDENT
260 LINDA ROSA AVE APT 5
PASADENA CA 91107

Officer/Director/Trustee Two

CHRISTY GATES
VICE PRESIDENT
1014 E HARRING AVE
WEST COVINA CA 91790

Officer/Director/Trustee Three

BRAJIEC GATES
DIRECTOR
260 LINDA ROSA AVE APT 5
ALTADENA CA 91001

Officer/Director/Trustee Four

BRIANNA GATES
SECRETARY
2833 GRANDEUR AVE
ALTADENA CA 91001

Officer/Director/Trustee Five

GILBERTO VEGA
TRESURER
402 S ARDMORE AVE APT 327
LOS ANGELES CA 90020

Organization’s website
Organization’s email ANNZPLAZE2@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 JIMMIE ANN COATES
Signature Title PRESIDENT
Signature Date 7/27/2020

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