FORM 1023-EZ for HEALTHY BISBEE INC

Field Data
EIN 83-1667860
Case Number EO-2018236-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY BISBEE INC
Organization’s Mailing Address 129 FORT HUACHUCA LANE
City BISBEE
State AZ
ZIP 85603
Accounting period End 12
Primary contact name DANIEL MALDONADO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MALDONADO
DIRECTOR
129 FORT HUACHUCA LANE
BISBEE AZ 85603

Officer/Director/Trustee Two

ANDREA DOUBLEDAY
DIRECTOR
P O BOX 1357
BISBEE AZ 85603

Officer/Director/Trustee Three

PAUL JACOB
DIRECTOR
805 HEADSTART WAY
BISBEE AZ 85603

Officer/Director/Trustee Four

JANET LUNDY
DIRECTOR
15 COCHISE TRAIL
BISBEE AZ 85603

Officer/Director/Trustee Five

KEITH DENNIS
DIRECTOR
P O BOX 1171
BISBEE AZ 85603

Organization’s website
Organization’s email GOARPARKLUNCHES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 DANIEL MALDONADO
Signature Title DIRECTOR
Signature Date 8/22/18

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