FORM 1023-EZ for HIS HEALING HANDS OF LOVE MINISTRYINC

Field Data
EIN 47-4560353
Case Number EO-2016091-000615
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIS HEALING HANDS OF LOVE MINISTRYINC
Organization’s Mailing Address 17301 KEELSON LANE APT 3
City HUNTINGTON BEACH
State CA
ZIP 92647
Accounting period End 12
Primary contact name CINDY FOURNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CINDY FOURNIER
PRESIDENT AND CEO
17301 KEELSON LANE APT 3
HUNTINGTON BEACH CA 92647

Officer/Director/Trustee Two

RUBEN HERNANDEZ
VICE PRESIDENT
3442 ALEXANDER PL SW
SMYRNA GA 30082

Officer/Director/Trustee Three

BRENDA VANDERFORD
SECRETARY
BOX 7415
CAPISTRANO CA 92624

Officer/Director/Trustee Four

RICHARD FOURNIER
TREASURER
17301 KEELSON APT 3
HUNTINGTON BEACH CA 92647

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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