FORM 1023-EZ for HAPPY HEALTH SQUAD FOUNDATION

Field Data
EIN 84-4673107
Case Number EO-2020160-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAPPY HEALTH SQUAD FOUNDATION
Organization’s Mailing Address 1385 HILLTOP OVERLOOK DRIVE
City MARIETTA
State GA
ZIP 30062
Accounting period End 12
Primary contact name KELISHA GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VELVET ANDERSON
CEO
1385 HILLTOP OVERLOOK DRIVE
MARIETTA GA 30062

Officer/Director/Trustee Two

ROBERT LICATA
DIRECTOR
150 SPRING DRIVE
ROSWELL GA 30075

Officer/Director/Trustee Three

JOHN CHRISTMAS
DIRECTOR
618 NORTH WOOD AVENUE
FLORENCE AL 35630

Officer/Director/Trustee Four

LANCE DE PERALTA
DIRECTOR
1236 SONATA DRIVE
VALLEJO CA 94591

Officer/Director/Trustee Five

JAMES THOMAS
DIRECTOR
459 21ST PLACE
SANTA MONICA CA 90402

Organization’s website WWW.THEHHS.FOUNDATION
Organization’s email KGARRETT@THEHHS.FOUNDATION
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V30 - Interdisciplinary Research
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 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 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 VELVET ANDERSON
Signature Title CEO
Signature Date 6/4/2020

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