FORM 1023-EZ for STANDUP4HEALTH INC

Field Data
EIN 83-3821292
Case Number EO-2019084-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STANDUP4HEALTH INC
Organization’s Mailing Address 13 LITTLE BEAR HILL RD PO BOX 597
City NEW MILFORD
State CT
ZIP 6776
Accounting period End 12
Primary contact name HAMILTON BROWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAMILTON BROWER
PRESIDENT
13 LITTLE BEAR HILL RD
NEW MILFORD CT 6776

Officer/Director/Trustee Two

ATZIN GAYTAN
COMMUNICATIONS DIRECTOR
45 OLD MILL RD
NEW MILFORD CT 6776

Officer/Director/Trustee Three

LYNN MARTIN
TREASURER
16 DEER RIDGE
SOUTHPORT ME 4576

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 HAMILTON BROWER
Signature Title PRESIDENT
Signature Date 3/21/19

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