FORM 1023-EZ for HEALTHY LIVING YOU INC

Field Data
EIN 84-3325963
Case Number EO-2020220-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY LIVING YOU INC
Organization’s Mailing Address 229-19 MERRICK BLVD SUITE 226
City LAURELTON
State NY
ZIP 11413
Accounting period End 12
Primary contact name ELIZABETH MADISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH MADISON
PRESIDENT
229-19 MERRICK BLVD SUITE 226
LAURELTON NY 11413

Officer/Director/Trustee Two

DARRYL MADISON
DIRECTOR
229-19 MERRICK BLVD SUITE 226
LAURELTON NY 11413

Officer/Director/Trustee Three

IMANI ADEGUBUYI
TREASURER
22770 CIVIC CENTER DRIVE APT B5
SOUTHFIELD MI 48033

Officer/Director/Trustee Four

LENORE RICHARDSON
SECRETARY
3709 REPUBLIC OF TEXAS DRIVE
KILLEEN TX 76549

Organization’s website HTTP://WWW.WEIGHTLOSSTRANSFORMATION.COM
Organization’s email ELIZABETH@WEIGHTLOSSTRANSFORMATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: No
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 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 ELIZABETH MADISON
Signature Title PRESIDENT
Signature Date 8/5/2020

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