FORM 1023-EZ for KINDNESS HEALS INC

Field Data
EIN 83-1587766
Case Number EO-2018229-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINDNESS HEALS INC
Organization’s Mailing Address 10001 W OAKLAND PARK BLVD STE 203
City SUNRISE
State FL
ZIP 33351
Accounting period End 12
Primary contact name DON FALLENBAUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON FALLENBAUM
PRESIDENT
10001 W OAKLAND PK BLVD STE 203
SUNRISE FL 33351

Officer/Director/Trustee Two

ZITA WILENSKY
VICE PRESIDENT
1860 211TH ST
MIAMI FL 33179

Officer/Director/Trustee Three

MEGAN FALLENBAUM
DIRECTOR
10001 W OAKLAND PK BLVD STE 203
SUNRISE FL 33351

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 DON FALLENBAUM
Signature Title PRESIDENT
Signature Date 8/15/18

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