FORM 1023-EZ for HEALING HOMES CORPORATION

Field Data
EIN 84-4008306
Case Number EO-2020030-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING HOMES CORPORATION
Organization’s Mailing Address 20894 SOUTH CENTRAL POINT ROAD
City OREGON CITY
State OR
ZIP 97045
Accounting period End 12
Primary contact name KEVIN SCHADICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON JENSON
DIRECTOR/PRESIDENT
20894 SOUTH CENTRAL POINT ROAD
OREGON CITY OR 97045

Officer/Director/Trustee Two

LAUREN JENSON
DIRECTOR/SECRETARY
20894 SOUTH CENTRAL POINT ROAD
OREGON CITY OH 97045

Officer/Director/Trustee Three

CINDY JENSON
DIRECTOR/TREASURER
21756 SOUTH LEWELLEN ROAD
BEAVERCREEK OR 97004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
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 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 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 BRANDON JENSON
Signature Title DIRECTOR/PRESIDENT
Signature Date 1/28/2020

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