FORM 1023-EZ for KOKORO HEALING FOUNDATION INC

Field Data
EIN 84-3447368
Case Number EO-2019329-000511
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOKORO HEALING FOUNDATION INC
Organization’s Mailing Address 254 CHURCH STREET
City SARATOGA SPRINGS
State NY
ZIP 12866
Accounting period End 12
Primary contact name MATHEW B TULLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY BALOG
CHAIRPERSON
254 CHURCH ST
SARATOGA SPRINGS NY 12866

Officer/Director/Trustee Two

MELANIE SKACH
DIRECTOR
254 CHURCH ST
SARATOGA SPRINGS NY 12866

Officer/Director/Trustee Three

TODD BALOG
DIRECTOR
254 CHURCH ST
SARATOGA SPRINGS NY 12866

Organization’s website WWW.KOKOROHEALINGFOUNDATION.ORG
Organization’s email INFO@KOKOROHEALINGFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 AMY BALOG
Signature Title CHAIRPERSON
Signature Date 11/22/19

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