FORM 1023-EZ for HEALTH A SISTA OUT

Field Data
EIN 86-1385432
Case Number EO-2021081-000703
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH A SISTA OUT
Organization’s Mailing Address 28045 COUNTY RD 66 N
City LOXLEY
State AL
ZIP 36551
Accounting period End 12
Primary contact name PATRICIA REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA REED
PRESIDENT
28045 COUNTY RD 66 N
LOXLEY AL 36551

Officer/Director/Trustee Two

SHAMAYA STOTS
VICE PRESIDENT
28045 COUNTY 66 N
LOXLEY AL 36551

Officer/Director/Trustee Three

SHAKETA SHELBY-FOX
TREASURE
28045 COUNTY RD 66 N
LOXLEY AL 36551

Officer/Director/Trustee Four

ASTRID STEVENS
SECRETARY
28045 COUNTY RD 66 N
LOXLEY AL 36551

Officer/Director/Trustee Five

NA NA
NA
NA
NA AL 36551

Organization’s website HTTPS://WWW.HEALTHASISTAOUT.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 PATRICIA REED
Signature Title PRESIDENT
Signature Date 1/26/2021

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