FORM 1023-EZ for HALCYON HEALING CENTER INC

Field Data
EIN 83-3666677
Case Number EO-2019063-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALCYON HEALING CENTER INC
Organization’s Mailing Address 1240 OLD RIVER ROAD
City CARTHAGE
State NC
ZIP 28327
Accounting period End 12
Primary contact name ANDREA ST HILAIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA ST HILAIRE
DIRECTOR, PRESIDENT, TREASURER
1240 OLD RIVER ROAD
CARTHAGE NC 28327-7708

Officer/Director/Trustee Two

CHRISTOPHER HUI
DIRECTOR
63 OLD COLONIAL DRIVE UNIT 1
GARDNER MA 1440-4215

Officer/Director/Trustee Three

REED AYRES
DIRECTOR
5925 WINDY CT
GOLDEN CO 80403-1128

Officer/Director/Trustee Four

SHEILA ST HILAIRE
SECRETARY
39 HIGH STREET
GARDNER MA 1440-3513

Organization’s website N/A
Organization’s email 2019HHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State NC
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 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 ANDREA ST HILAIRE
Signature Title DIRECTOR, PRESIDENT, TREASURER
Signature Date 2/28/19

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