FORM 1023-EZ for HAPPY HEALTHY BRAIN INC

Field Data
EIN 84-4984168
Case Number EO-2020181-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAPPY HEALTHY BRAIN INC
Organization’s Mailing Address PO 4569
City EAGLE
State CO
ZIP 81631
Accounting period End 3
Primary contact name AMY PATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAKE PATES
DIRECTOR
PO BOX 4569
EAGLE CO 81631

Officer/Director/Trustee Two

AMY PATES
DIRECTOR
PO 1945
EAGLE CO 81631

Organization’s website HTTPS://WWW.HAPPYHEALTHYBRAINFOUNDATION.ORG/
Organization’s email H2BFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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 JAKE PATES
Signature Title DIRECTOR
Signature Date 6/25/2020

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