FORM 1023-EZ for ATTACHMENT HEALING INSTITUTE

Field Data
EIN 32-0586780
Case Number EO-2019058-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATTACHMENT HEALING INSTITUTE
Organization’s Mailing Address 39 RANCHO VERDE RD
City TIJERAS
State NM
ZIP 87059
Accounting period End 12
Primary contact name JAY PULLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY PULLEN
BOARD PRESIDENT
39 RANCHO VERDE RD
TIJERAS NM 87059

Officer/Director/Trustee Two

TAMAR RANDALL
BOARD VICE PRESIDENT
7 DARBY CT
TIJERAS NM 87102

Officer/Director/Trustee Three

PATRICK WEST
BOARD TREASURER
1913 BROADWAY SE
ALBUQUERQUE NM 87102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/16
Organization Incorporation State NM
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: 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 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 JAY PULLEN
Signature Title BOARD PRESIDENT
Signature Date 2/25/19

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