FORM 1023-EZ for THE HEALTH P L U G

Field Data
EIN 84-1964682
Case Number EO-2020317-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HEALTH P L U G
Organization’s Mailing Address 44 KNOX CIRCLE
City GRENADA
State MS
ZIP 38901
Accounting period End 12
Primary contact name CHRISTINA GLADNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA GLADNEY
EXECUTIVE DIRECTOR
44 KNOX CR
GRENADA MS 38901

Officer/Director/Trustee Two

TIMOTHY ASHMORE
TREASURE
1227 PIN OAK DRIVE APT M4
FLOWOOD MS 39232

Officer/Director/Trustee Three

ROGER GIVENS
OFFICER
69 CROSBY DRIVE
GRENADA MS 38901

Officer/Director/Trustee Four

JARVIS DORTCH
OFFICER
408 RIDGE PARK COVE
RAYMOND MS 39154

Officer/Director/Trustee Five

CHRIS BELL
OFFICER
510 GEORGE STREET SUITE 239
JACKSON MS 39202

Organization’s website
Organization’s email HEALTHPLUGINFO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 CHRISTINA GLADNEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/9/2020

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