FORM 1023-EZ for HOLLER HEALTH JUSTICE INC

Field Data
EIN 83-1203957
Case Number EO-2018197-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLER HEALTH JUSTICE INC
Organization’s Mailing Address 704 GRANT ST
City CHARLESTON
State WV
ZIP 25302
Accounting period End 12
Primary contact name CAITLIN GAFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAITLIN GAFFIN
PRESIDENT
704 GRANT STREET
CHARLESTON WV 25302

Officer/Director/Trustee Two

CONSUELO BARAJAS
VICE PRESIDENT
1207 ANNA ST
CHARLESTON WV 25302

Officer/Director/Trustee Three

CIERA PENNINGTON
SECRETARY
52 BAILES RD
NITRO WV 25143

Officer/Director/Trustee Four

AMANDA SCHWARTZ
TREASURER
1207 ANNA ST
CHARLESTON WV 25302

Organization’s website
Organization’s email HOLLERHEALTHJUSTICE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R61 - Reproductive Rights
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 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 CAITLIN GAFFIN
Signature Title PRESIDENT
Signature Date 7/12/18

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