FORM 1023-EZ for HEALTHY HIRE HEALTHY RETIRE

Field Data
EIN 83-2740005
Case Number EO-2019196-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY HIRE HEALTHY RETIRE
Organization’s Mailing Address 2112 NE 68TH ST
City FORT LAUDERDALE
State FL
ZIP 33308
Accounting period End 12
Primary contact name CHELSEA DAVENPORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSEA DAVENPORT
PRESIDENT
2112 NE 68TH ST
FORT LAUDERDALE FL 33308

Officer/Director/Trustee Two

CHRIS FIELDS
VICE PRESIDENT
11329 KINGSPORT LN
OKLAHOMA CITY OK 73170

Officer/Director/Trustee Three

ROBERT STILLMAN
DIRECTOR OF MARKETING
6401 CONGRESS AVE
BOCA RATON FL 33487

Organization’s website WWW.HEALTHYHIREHEALTHYRETIRE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 CHELSEA DAVENPORT
Signature Title PRESIDENT
Signature Date 7/11/19

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