FORM 1023-EZ for VILLAGE HEALTH INTERNATIONAL

Field Data
EIN 46-5732395
Case Number EO-2015065-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VILLAGE HEALTH INTERNATIONAL
Organization’s Mailing Address 9028 SE PINE CONE LANE
City HOBE SOUND
State FL
ZIP 33455
Accounting period End 12
Primary contact name BRENT HOFFPAUIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOWELL ADAMS
PRESIDENT
17 HEIMBACH LN
MILTON PA 17847

Officer/Director/Trustee Two

BRENT HOFFPAUIR
SECRETARY/TREASURER
12001 SE ELENOR AVE
HOBE SOUND FL 33455

Officer/Director/Trustee Three

HIBA GEORGES-STEMM
BOARD MEMBER
6518 SE KEY DEER LANE
PALM CITY FL 34990

Organization’s website HTTP://WWW.VILLAGEHEALTHINTERNATIONAL.COM/
Organization’s email ADMIN@VILLAGEHEALTHINTERNATIONAL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2014
Organization Incorporation State FL
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: Yes
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 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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