FORM 1023-EZ for HEALING INK INC

Field Data
EIN 82-1465306
Case Number EO-2017272-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALING INK INC
Organization’s Mailing Address 1060 S COCHRAN AVE SUITE 4
City LOS ANGELES
State CA
ZIP 90019
Accounting period End 10
Primary contact name JEREMY BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG DERSHOWITZ
DIRECTOR
1060 S COCHRAN AVE SUITE 4
LOS ANGELES CA 90019-2861

Officer/Director/Trustee Two

NICHOLE EAST
DIRECTOR
30 SOUTH 5TH PLACE
LONG BEACH CA 90802-5651

Officer/Director/Trustee Three

SGULA DERSHOWITZ
DIRECTOR
1060 S COCHRAN AVE SUITE 4
LOS ANGELES CA 90019-2861

Officer/Director/Trustee Four

JEREMY BURKE
DIRECTOR
4270 CORTE FAVOR
SAN DIEGO CA 92130-2181

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
One Third Support Gifts No
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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