FORM 1023-EZ for THE HEALTHY MOM AND BABY FOUNDATION

Field Data
EIN 82-3795535
Case Number EO-2018255-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HEALTHY MOM AND BABY FOUNDATION
Organization’s Mailing Address 4321 GRANDVIEW DR
City PALMDALE
State CA
ZIP 93551-7542
Accounting period End 12
Primary contact name SANDRA MAYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRTA MAYO
CHIEF EXECUTIVE OFFICER
4321 GRANDVIEW DR
PALMDALE CA 93551-7542

Officer/Director/Trustee Two

DEONDRA CARTER
SECRETARY
9 EAST 128TH STREET
NEW YORK NY 10035-1276

Officer/Director/Trustee Three

MICHAEL MAYO
CHIEF FINANCIAL OFFICER
4321 GRANDVIEW DR
PALMDALE CA 93551-7542

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 SANDRTA MAYO
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 9/10/18

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