FORM 1023-EZ for HALOS IN HEALTHCARE INC

Field Data
EIN 85-0865258
Case Number EO-2020135-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALOS IN HEALTHCARE INC
Organization’s Mailing Address 3 MULLER STREET
City NEW FAIRFIELD
State CT
ZIP 06812
Accounting period End 12
Primary contact name DANIELLE NIESZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE NIESZ
OFFICER
3 MULLER STREET
NEW FAIRFIELD CT 06812

Officer/Director/Trustee Two

GENEVIEVE STILLSON
SECRETARY
6 OAK STREET
DANBURY CT 06811

Officer/Director/Trustee Three

NICOLE CONSENTINO
TREASURER
18 CREST ROAD
CHAPPAQUA NY 10514

Officer/Director/Trustee Four

LAURA FERRARO
DIRECTOR
5 NABBY ROAD UNIT 88
BROOKFIELD CT 06804

Officer/Director/Trustee Five

ANDREA JOWDY
DIRECTOR
93 PARK AVENUE UNIT 703
DANBURY CT 06810

Organization’s website
Organization’s email YELLIE1081@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2020
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 DANIELLE NIESZ
Signature Title OWNER
Signature Date 5/12/2020

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