FORM 1023-EZ for HEATHLY HABITS FOOD NUTRITION IN

Field Data
EIN 47-2803873
Case Number EO-2015260-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEATHLY HABITS FOOD NUTRITION IN
Organization’s Mailing Address 11 IRON HORSE SPUR
City SAVANNAH
State GA
ZIP 31419
Accounting period End 12
Primary contact name PAMELA QUARTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA QUARTERMAN
PRESIDENT
11 IRON HORSE SPUR
SAVANNAH GA 31419

Officer/Director/Trustee Two

TRACY WILLIS
VICE PRESIDENT
11 IRON HORSE SPUR
SAVANNAH GA 31419

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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
Signature Title
Signature Date

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