FORM 1023-EZ for HEADS UP HEALTH USA INC

Field Data
EIN 47-5075291
Case Number EO-2020013-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEADS UP HEALTH USA INC
Organization’s Mailing Address 807 DESMOND LANE 1006
City FORT WORTH
State TX
ZIP 76120
Accounting period End 12
Primary contact name JAANA HULL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAANA HULL
FOUNDER AND DIRECTOR
807 DESMOND LANE
FORT WORTH TX 76120

Officer/Director/Trustee Two

ELIZABETH HULL
TREASURE
807 DESMOND LN
FORT WORTH TX 76120

Officer/Director/Trustee Three

DOROTHY DARLING
SECRETARY
4900 N OCEAN BLVD
FORT LAUDERDALE FL 33308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAANA HULL
Signature Title FOUNDER
Signature Date 1/9/2020
EIN 47-5075291
Case Number EO-2017079-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEADS UP HEALTH USA INC
Organization’s Mailing Address 2770 SOMERSET DRIVE R401
City LAUDERDALE LAKES
State TX
ZIP 33311
Accounting period End 12
Primary contact name JAAANA HULL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAANA HULL
DIRECTOR AND PRESIDENT
2770 SOMERSET DRIVE R401
LAUDERDALE LAKES FL 33311

Officer/Director/Trustee Two

DOROTHY DARLING
REGISTERED AGENT
4900 NORTH OCEAN DR 715
LAUDERDALE BY THE SE TX 33308

Officer/Director/Trustee Three

ELIZABETH HULL
DIRECTOR AND TRESURER
807 DESMOND LANE
FORT WORTH TX 76120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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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