FORM 1023-EZ for HEALTHY KITCHEN INC

Field Data
EIN 85-3320675
Case Number EO-2020295-001078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY KITCHEN INC
Organization’s Mailing Address 10 ORLANDO COURT
City BILLERICA
State MA
ZIP 01821
Accounting period End 9
Primary contact name GAURANG AMONKAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAURANG AMONKAR
PRESIDENT, CLERK, DIRECTOR
10 ORLANDO COURT
BILLERICA MA 01821

Officer/Director/Trustee Two

BISSEM GILL
PRESIDENT, TREASURER, DIRECTOR
5723 BUCKINGHAM COURT
ROLLING MEADOWS IL 60008

Officer/Director/Trustee Three

SAMANTHA MAE MALLARI
PRESIDENT, TREASURER, DIRECTOR
111 MAGNOLIA ROAD
MILFORD CT 06461

Organization’s website
Organization’s email GAMONKAR24@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 GAURANG AMONKAR
Signature Title PRESIDENT, CLERK, DIRECTOR
Signature Date 10/14/2020

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