FORM 1023-EZ for HEALTH EXTENSION PROMOTION AND TRAINING ORGANIZATION INC

Field Data
EIN 83-0674739
Case Number EO-2018150-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH EXTENSION PROMOTION AND TRAINING ORGANIZATION INC
Organization’s Mailing Address 1656 OAK RIDGE CIRCLE
City EAGAN
State MN
ZIP 55122
Accounting period End 12
Primary contact name MOHAMED MOHAMED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMED MOHAMED
PRESIDENT
1656 OAK RIDGE CIRCLE
EAGAN MN 55122

Officer/Director/Trustee Two

AHMED JAMA
TREASURER
PO BOX 22526
EAGAN MN 55122

Officer/Director/Trustee Three

ABDI JAMA
SECRETARY
1519 GRANDVIEW BLVD APT 6
SIOUX CITY IA 51103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State MN
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: 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 Yes
Donation of funds Yes
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 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 MOHAMED MOHAMED
Signature Title PRESIDENT
Signature Date 5/25/18

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