FORM 1023-EZ for HALO

Field Data
EIN 38-3943717
Case Number EO-2015117-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HALO
Organization’s Mailing Address PO BOX 331
City MCARTHUR
State CA
ZIP 96056-0331
Accounting period End 12
Primary contact name SARA EDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEN ROARK
PRESIDENT
PO BOX 331
MCARTHUR CA 96056-0331

Officer/Director/Trustee Two

CLINTON DAVIS
VICE-PRESIDENT
PO BOX 204
ADIN CA 96006-0204

Officer/Director/Trustee Three

WENDY DOUGHERTY
SECRETARY
24541 HWY 89
BURNEY CA 96013

Officer/Director/Trustee Four

SARA EDSON
TREASURER
PO BOX 316
BIEBER CA 96009-0316

Officer/Director/Trustee Five

GINGER RAMSAY-ROARK
DIRECTOR
PO BOX 331
MCARTHUR CA 96056-0331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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