FORM 1023-EZ for HEALING ACTION NETWORK INC

Field Data
EIN 45-4398011
Case Number EO-2014294-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALING ACTION NETWORK INC
Organization’s Mailing Address 3407 S JEFFERSON AVE
City SAINT LOUIS
State MO
ZIP 63118
Accounting period End 12
Primary contact name KATIE RHOADES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY RITTER
BOARD CHAIR
3407 S JEFFERSON AVE
SAINT LOUIS MO 63118

Officer/Director/Trustee Two

SHELLY BYINGTON
SECRETARY
3407 S JEFFERSON AVE
SAINT LOUIS MO 63118

Officer/Director/Trustee Three

ROSE LATCH
TREASURER
3407 S JEFFERSON AVE
SAINT LOUIS MO 63118

Officer/Director/Trustee Four

KATIE RHOADES
EXECUTIVE DIRECTOR
3407 S JEFFERSON AVE
SAINT LOUIS MO 63118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2011
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention 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 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 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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