FORM 1023-EZ for HEAVENLY HANDS ADULT DAY INC

Field Data
EIN 84-3635487
Case Number EO-2019333-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAVENLY HANDS ADULT DAY INC
Organization’s Mailing Address 1971 E PEMBROKE AVE
City HAMPTON
State VA
ZIP 23663
Accounting period End 12
Primary contact name PATRICIA SNOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA SNOW
OWNER
1971 E PEMBROKE AVE
HAMPTON VA 23663

Officer/Director/Trustee Two

JEROME HANEY
CO OWNER
1971 E PEMBROKE AVE
HAMPTON VA 23663

Officer/Director/Trustee Three

CEDRIC JONES
SECRETARY
1971 E PEMBROKE AVE
HAMPTON VA 23663

Officer/Director/Trustee Four

CHRISTINA SNOW
HELPER
145 LIBBEY ST APT C
HAMPTON VA 23663

Officer/Director/Trustee Five

CIARA HOLLEY
ASSISTANT
1971 E PEMBROKE AVE
HAMPTON VA 23663

Organization’s website
Organization’s email HEAVENLYCARE9@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA SNOW
Signature Title OWNER
Signature Date 11/27/19

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