FORM 1023-EZ for SPOTTED OWL HEALTHCARE INC

Field Data
EIN 38-3817938
Case Number EO-2019030-000841
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPOTTED OWL HEALTHCARE INC
Organization’s Mailing Address 807 ELVIRA ROAD
City DUNBAR
State WV
ZIP 25064
Accounting period End 6
Primary contact name ORLANDO Y CRAIGHEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ORLANDO CRAIGHEAD
DIRECTOR
807 ELVIRA RD
DUNBAR WV 25064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/18
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ORLANDO CRAIGHEAD
Signature Title DIRECTOR
Signature Date 12/27/18

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