FORM 1023-EZ for HENRIETTA LACKS HOUSE OF HEALING

Field Data
EIN 81-3600931
Case Number EO-2016238-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRIETTA LACKS HOUSE OF HEALING
Organization’s Mailing Address 42 BANK SPRING COURT
City OWINGS MILL
State MD
ZIP 21117
Accounting period End 12
Primary contact name ALFRED CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALFRED CARTER
PRESIDENT
42 BANK SPRING COURT
OWINGS MILL MD 21117

Officer/Director/Trustee Two

JEWELL CARTER
BOARD MEMBER
42 BANK SPRING COURT
OWINGS MILL MD 21117

Officer/Director/Trustee Three

EBONY PHILLIPS
BOARD MEMBER
3219 WEST MARYLAND AVENUE
BALTIMORE MD 21218

Officer/Director/Trustee Four

ANGENETTE GRIFFIN
BOARD MEMBER
3219 WEST MARYLAND AVENUE
BALTIMORE MD 21218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 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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