FORM 1023-EZ for HEALTH EDUCATION EMPOWERMENT INC

Field Data
EIN 86-1735535
Case Number EO-2021082-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH EDUCATION EMPOWERMENT INC
Organization’s Mailing Address 30 HARROD LANE
City BEDFORD
State NH
ZIP 03110
Accounting period End 12
Primary contact name MARK BARNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN PROEHL
PRESIDENT
216 TANDY BROOK ROAD
CORNISH NH 03745

Officer/Director/Trustee Two

MARK BARNARD
TREASURER
30 HARROD LANE
BEDFORD NH 03110

Officer/Director/Trustee Three

CINDY TRYNSZEWSKI
SECRETARY
2838 TANSEY LANE
CHESTER SPRINGS PA 19425

Officer/Director/Trustee Four

CANDACE KATTA-LIPTROT
VICE PRESIDENT
1866 RIVER RIDGE CIRCLE
NAPERVILLE IL 60565

Officer/Director/Trustee Five

CHRIS GISNESS
DIRECTOR
455 JUNCTION TRACK
ROSWELL GA 30075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 MARK BARNARD
Signature Title TREASURER
Signature Date 1/28/2021

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