FORM 1023-EZ for COMMUNITY HEALTH INITIATIVES INTERNATIONAL

Field Data
EIN 46-2234306
Case Number EO-2015023-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY HEALTH INITIATIVES INTERNATIONAL
Organization’s Mailing Address 129 NATURES COVE RD
City SALUDA
State SC
ZIP 29138
Accounting period End 12
Primary contact name ROBERT HARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT HARMON
PRESIDENT
129 NATURES COVE RD
SALUDA SC 29138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2013
Organization Incorporation State SC
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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