FORM 1023-EZ for HEAL THE BURN

Field Data
EIN 27-3887966
Case Number EO-2017027-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEAL THE BURN
Organization’s Mailing Address 1736 SILVER BIRCH ROAD
City HUNTINGDON VALLEY
State PA
ZIP 19006-7745
Accounting period End 12
Primary contact name LISA KUPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD KUPPER
PRESIDENT
1736 SILVER BIRCH ROAD
HUNTINGDON VALLEY PA 19006-7745

Officer/Director/Trustee Two

LISA KUPPER
VICE-PRESIDENT
1736 SILVER BIRCH ROAD
HUNTINGDON VALLEY PA 19006-7745

Organization’s website WWW.HEALINGTHEBURN.ORG
Organization’s email INFO@HEALINGTHEBURN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2010
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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