FORM 1023-EZ for HEALTHY SOULS INTERNATIONAL INC

Field Data
EIN 83-1914175
Case Number EO-2020016-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY SOULS INTERNATIONAL INC
Organization’s Mailing Address 2330 SOUTH NOVA RD
City SOUTH DAYTONA
State FL
ZIP 32119
Accounting period End 12
Primary contact name MARIA DAVILA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA DAVILA
FOUNDER/ PRESIDENT
129 POWELL BLVD APT 11202
SOUTH DAYTONA FL 32114

Officer/Director/Trustee Two

ADRIENNE BARKER
SECRETARY TREASURER
168 INTEGRA SHORES DRIVE 210
DAYTONA BEACH FL 32117

Officer/Director/Trustee Three

EDGARDO GRAJALES
DIRECTOR OF TRAINING
8330 YELLOW LANE
TALLAHASSEE FL 32311

Officer/Director/Trustee Four

RONNIE JONES
CHAIR OF LOGISTICS AND TRANSPORT
2800 POST OAK BLVD SUITE 4100
HOUSTON TX 77056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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 Yes
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 MARIA DAVILA
Signature Title FOUNDER/ PRESIDENT
Signature Date 1/14/2020

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