FORM 1023-EZ for HARMONY HOMESTEAD AND WHOLENESS CENTER INC

Field Data
EIN 82-2830803
Case Number EO-2017286-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARMONY HOMESTEAD AND WHOLENESS CENTER INC
Organization’s Mailing Address 101 WEST END RD
City HILLSDALE
State NY
ZIP 12529
Accounting period End 12
Primary contact name ELIZABETH BLACKSHINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH BLACKSHINE
DIRECTOR
84B MONUMENT VALLELY RD
GREAT BARRINGTON MA 01230

Officer/Director/Trustee Two

RACHEL SUMMER
OFFICER
179 TUCK ST
CEDAR CREEK TX 78612

Officer/Director/Trustee Three

DAVID GRAHAM
OFFICER
42 CLIFFORD RD
MENANDS NY 12204

Officer/Director/Trustee Four

ALEX GRAHAM
OFFICER
1401 DEODARA DRIVE
CEDAR PARK TX 78613

Organization’s website WWW.UNVEILWHOLENESS.COM
Organization’s email SHINEBRIGHTBLACK07@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 No
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
Signature Title
Signature Date

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