FORM 1023-EZ for GROWING HEALTH INC

Field Data
EIN 81-4313638
Case Number EO-2016313-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROWING HEALTH INC
Organization’s Mailing Address 1112 WELLS STREET
City DURHAM
State NC
ZIP 27707
Accounting period End 6
Primary contact name EMILY ESMAILI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BAHAR ESMAILI
PRESIDENT
1112 WELLS STREET
DURHAM NC 27707

Officer/Director/Trustee Two

CLIFF OCALLAHAN
DIRECTOR
90 SOUTH MAIN STREET
MIDDLETOWN CT 06457

Officer/Director/Trustee Three

ALLISON BALL
DIRECTOR
1007 CHESTER STREET
BIRMINGHAM MI 48009

Officer/Director/Trustee Four

LAURETTE MUSHIMIYIMANA
TREASURER
1112 WELLS STREET
DURHAM NC 27707

Officer/Director/Trustee Five

MEDIE JESENA
SECRETARY
1112 WELLS STREET
DURHAM NC 27707

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 Yes
Financial transactions with officers Yes
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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