FORM 1023-EZ for HEALTHY CHILDREN AWARENESS NETWORKINC

Field Data
EIN 81-1818272
Case Number EO-2016077-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY CHILDREN AWARENESS NETWORKINC
Organization’s Mailing Address 882 HERITAGE PLACE
City DECATUR
State GA
ZIP 30033
Accounting period End 3
Primary contact name JULIE JENENE JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE JACKSON
PRESIDENT
882 HERITAGE PLACE
DECATUR GA 30033

Officer/Director/Trustee Two

DERYCK BLAKE
CFO
882 HERITAGE PLACE
DECATUR GA 30033

Officer/Director/Trustee Three

WENDY BELKIN
TRUSTEE
2786 N DECATUR RD
DECATUR GA 30033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: No
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 Yes
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 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
Signature Title
Signature Date

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