FORM 1023-EZ for HEALTHFLO INC

Field Data
EIN 82-3490224
Case Number EO-2017333-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHFLO INC
Organization’s Mailing Address 444 COMMUNITY DRIVE
City MANHASSET
State NY
ZIP 11030
Accounting period End 12
Primary contact name IGOR SHTARKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IGOR SHTARKMAN
PRESIDENT
2514 EAST 26TH STREET
BROOKLYN NY 11235

Officer/Director/Trustee Two

MARGARITA BARTASUNAITE
DIRECTOR
1909 QUENTIN ROAD UNIT 6E
BROOKLYN NY 11229

Officer/Director/Trustee Three

NANCY SHTARKMAN
DIRECTOR
2514 EAST 26TH STREET
BROOKLYN NY 11235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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