FORM 1023-EZ for HEALING FLAMES FORGE INC

Field Data
EIN 85-4290470
Case Number EO-2021092-001154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING FLAMES FORGE INC
Organization’s Mailing Address 136 OLD BOWERS RD
City MERTZTOWN
State PA
ZIP 19539
Accounting period End 12
Primary contact name KEVIN SCHADICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN DUANE
DIRECTOR - PRESIDENT/SECRETARY
136 OLD BOWERS RD
MERTZTOWN PA 19539

Officer/Director/Trustee Two

BYRON RUSSELL
DIRECTOR - CHAIRMAN
531 SEVEN MILE RIDGE RD
INDIAN MOUND TN 37079

Officer/Director/Trustee Three

NANCY GRIM
DIRECTOR - VICE PRESIDENT/TREASUER
136 OLD BOWERS RD
MERTZTOWN PA 19539

Officer/Director/Trustee Four

MELISSA RUSSELL
DIRECTOR - VICE CHAIR
531 SEVEN MILE RIDGE RD
INDIAN MOUND TN 37079

Officer/Director/Trustee Five

FRANK DUANE
DIRECTOR - ADVISOR
105 CORRY ST
MADISON WI 53704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 Yes
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 ROBIN DUANE
Signature Title DIRECTOR - PRESIDENT/SECRETARY
Signature Date 2/25/2021

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