FORM 1023-EZ for HEAL AS ONE INC

Field Data
EIN 85-0919343
Case Number EO-2020139-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAL AS ONE INC
Organization’s Mailing Address 1765 WA KEE NA DR
City MIAMI
State FL
ZIP 33133
Accounting period End 9
Primary contact name PAUL-JACQUES LAROCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PANELL CHARLOT
VICE PRESIDENT
3914 SILVER ASPEN CT
HOUSTON TX 77059

Officer/Director/Trustee Two

PAUL-JACQUES LAROCHE
EXECUTIVE DIRECTOR
1765 WA KEE NA DR
MIAMI FL 33133

Officer/Director/Trustee Three

MICHELLE KIRWAN
DIRECTOR
640 NE 116TH STREET
BISCAYNE PARK FL 33161

Officer/Director/Trustee Four

NIKI TERESA BROWN
DIRECTOR
3124 BIRD AVENUE
MIAMI FL 33133

Officer/Director/Trustee Five

BASIL A BINNS II
DIRECTOR
4120 NE 1ST AVENUE
MIAMI FL 33137

Organization’s website WWW.HEALASONE.ORG
Organization’s email PJLAROCHE@HEALASONE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G02 - Management & Technical Assistance
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAUL-JACQUES LAROCHE
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/14/2020

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