FORM 1023-EZ for HEALTH ANALYTICS

Field Data
EIN 81-3508171
Case Number EO-2016225-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH ANALYTICS
Organization’s Mailing Address 11844 BANDERA ROAD NUM 200
City HELOTES
State TX
ZIP 78023
Accounting period End 12
Primary contact name JADE HEVERLY-CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JADE HEVERLY-CAMPBELL
PRESIDENT
11844 BANDERA ROAD NUM 200
HELOTES TX 78023

Officer/Director/Trustee Two

JADE HEVERLY-CAMPBELL
SECRETARY
11844 BANDERA ROAD NUM 200
HELOTES TX 78023

Officer/Director/Trustee Three

JADE HEVERLY-CAMPBELL
TREASURER
11844 BANDERA ROAD NUM 200
HELOTES TX 78023

Officer/Director/Trustee Four

DEBRA HEVERLY
DIRECTOR
11844 BANDERA ROAD NUM 200
HELOTES TX 78023

Organization’s website
Organization’s email HEALTHANALYTICSNPO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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
Signature Title
Signature Date

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