FORM 1023-EZ for HEALTHY PROGRAM PROVIDERS INC

Field Data
EIN 47-1027362
Case Number EO-2015044-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY PROGRAM PROVIDERS INC
Organization’s Mailing Address PO BOX 25
City MARYSVILLE
State PA
ZIP 17053
Accounting period End 6
Primary contact name ANDREW BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHLOE PITTINOS
CHAIR
902 RIVER RD
MARYSVILLE PA 17053

Officer/Director/Trustee Two

MARY NIESSEN
SECRETARY
3840 CALVERT DR
MECHANICSBURG PA 17050

Officer/Director/Trustee Three

DARCY DIMATEO
TREASURER
525 SAM SNEAD CIRCLE
ETTERS PA 17319

Officer/Director/Trustee Four

ANDREW BAKER
DIRECTOR
902 RIVER RD
MARYSVILLE PA 17053

Organization’s website WWW.HPPROVIDERS.COM
Organization’s email OFFICE@HPPROVIDERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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